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1316096860
JACKIE S MELANCON
FORT HOOD, TX
NPI
1316096860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 198906)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
-- JACKIE S MELANCON
36000 DARNALL LOOP
FORT HOOD, TX 76544-5095
Phone number: 254-286-7702
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Mailing Address
-- JACKIE S MELANCON
36000 DARNALL LOOP
FORT HOOD, TX 76544-5095
Phone number:
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