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1396203543
MALLORY LYNN MELVIN
EAU CLAIRE, WI
NPI
1396203543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-06
Last Update Date
2019-06-13
Business Address
MALLORY LYNN MELVIN
105 GARFIELD AVE
EAU CLAIRE, WI 54701-4811
Phone number: 715-965-2752
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Mailing Address
MALLORY LYNN MELVIN
9640 RANGELINE RD
WISCONSIN RAPIDS, WI 54494-9100
Phone number: 715-965-2752
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