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1336363845
MELANIE G. PETCHAK
SHREVEPORT, LA
NPI
1336363845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA APO3820)
Enumeration Date
2007-04-13
Last Update Date
2024-11-19
Business Address
MELANIE G. PETCHAK NP-BC
7611 SAINT VINCENT AVE
SHREVEPORT, LA 71106-4231
Phone number: 318-861-1671
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Mailing Address
MELANIE G. PETCHAK NP-BC
1 SAINT MARY PL
SHREVEPORT, LA 71101-4343
Phone number: 318-861-1671
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