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1225467541
ERICK MELGAARD
FRUITA, CO
NPI
1225467541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2013-11-06
Last Update Date
2013-11-06
Business Address
Mr. ERICK MELGAARD
805 E CEDAR CT APT D
FRUITA, CO 81521-3115
Phone number: 970-424-2492
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Mailing Address
Mr. ERICK MELGAARD
805 E CEDAR CT APT D
FRUITA, CO 81521-3115
Phone number: 970-424-2492
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