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1346633211
MELANIE LICERIO
DALLAS, TX
NPI
1346633211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX AP127432)
Enumeration Date
2015-03-16
Last Update Date
2017-03-20
Business Address
Mrs. MELANIE LICERIO CRNA
6606 LBJ FWY SUITE 200
DALLAS, TX 75240-6533
Phone number: 972-715-5000
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Mailing Address
Mrs. MELANIE LICERIO CRNA
PO BOX 650865
DALLAS, TX 75265-0865
Phone number: 972-715-5000
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