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1356772313
MELISSA BURSICH
O FALLON, IL
NPI
1356772313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 448696)
Enumeration Date
2013-12-02
Last Update Date
2013-12-02
Business Address
-- MELISSA BURSICH
600 S SMILEY ST
O FALLON, IL 62269-2316
Phone number: 618-632-3507
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Mailing Address
-- MELISSA BURSICH
600 S SMILEY ST
O FALLON, IL 62269-2316
Phone number: 618-632-3507
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