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1376324970
SHANNON MELLEMA
GAYLORD, MI
NPI
1376324970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MI 7152000771)
Enumeration Date
2023-10-10
Last Update Date
2023-10-10
Business Address
SHANNON MELLEMA
825 N CENTER AVE
GAYLORD, MI 49735-1592
Phone number: 989-731-3894
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Mailing Address
SHANNON MELLEMA
825 N CENTER AVE
GAYLORD, MI 49735-1592
Phone number: 989-731-3894
Copy
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