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1184754020
VICKIE L MELVIN
PERU, NE
NPI
1184754020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE 406)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
-- VICKIE L MELVIN ATC
600 HOYT ST
PERU, NE 68421
Phone number: 402-872-2390
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Mailing Address
-- VICKIE L MELVIN ATC
1908 PARK AVE
PERU, NE 68421-3044
Phone number:
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