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1194464990
SUSANA MICHELLE MELGAR
GALLATIN, TN
NPI
1194464990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-05-31
Last Update Date
2022-05-31
Business Address
SUSANA MICHELLE MELGAR RBT
1531 HUNT CLUB BLVD STE 306
GALLATIN, TN 37066-6098
Phone number: 217-525-8332
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Mailing Address
SUSANA MICHELLE MELGAR RBT
5220 6TH STREET FRONTAGE RD E STE 1700
SPRINGFIELD, IL 62703-5771
Phone number: 217-525-8332
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