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1356055347
MELISSA GALE WILDER
CORBIN, KY
NPI
1356055347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3018813)
Enumeration Date
2023-01-13
Last Update Date
2023-01-13
Business Address
MELISSA GALE WILDER
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
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Mailing Address
MELISSA GALE WILDER
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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