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1225136542
MELANIE CHISAM
SPRINGFIELD, MO
NPI
1225136542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MO 2005007764)
Enumeration Date
2006-09-20
Last Update Date
2018-12-27
Business Address
Mrs. MELANIE CHISAM P.A.
3800 S NATIONAL AVE STE 510
SPRINGFIELD, MO 65807-5284
Phone number: 417-875-3114
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Mailing Address
Mrs. MELANIE CHISAM P.A.
PO BOX 9007
SPRINGFIELD, MO 65808-9007
Phone number: 417-875-3462
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