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1144894924
STACEY LEEANN MELZER
PONCA CITY, OK
NPI
1144894924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OK 14066855)
Enumeration Date
2021-05-17
Last Update Date
2021-05-17
Business Address
Mrs. STACEY LEEANN MELZER MS, CCC-SLP
220 VILLAGE CIR
PONCA CITY, OK 74601-4021
Phone number: 580-830-0662
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Mailing Address
Mrs. STACEY LEEANN MELZER MS, CCC-SLP
16112 LEDGE LN
EDMOND, OK 73013-3227
Phone number: 575-644-2831
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