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1184837056
MELODY VISSER
BELLEVILLE, IL
NPI
1184837056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO 090437)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
-- MELODY VISSER CRNA
28 N 64TH ST
BELLEVILLE, IL 62223-3808
Phone number: 314-991-0985
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Mailing Address
-- MELODY VISSER CRNA
PO BOX 822344
PHILADELPHIA, PA 19182-2344
Phone number: 314-991-0985
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