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1366487027
MELANIE M TIDMAN
ALBUQUERQUE, NM
NPI
1366487027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NM NM 106)
Enumeration Date
2006-06-18
Last Update Date
2007-07-09
Business Address
-- MELANIE M TIDMAN M.A., OTR/L
521 VINEYARD RD NE
ALBUQUERQUE, NM 87113-1055
Phone number: 505-344-5756
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Mailing Address
-- MELANIE M TIDMAN M.A., OTR/L
521 VINEYARD RD NE
ALBUQUERQUE, NM 87113-1055
Phone number: 505-344-5756
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