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1215960117
GARY ROBERT MELVIN
PRESCOTT, AZ
NPI
1215960117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: SD 1194)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
Dr. GARY ROBERT MELVIN M.D.
1024 SUNLIT DR
PRESCOTT, AZ 86303-5131
Phone number: 928-776-6141
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Mailing Address
Dr. GARY ROBERT MELVIN M.D.
1024 SUNLIT DR
PRESCOTT, AZ 86303-5131
Phone number: 928-778-7902
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