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1487946497
MELAINA MARIE LANE
MARION, IL
NPI
1487946497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164.004808)
Enumeration Date
2011-05-09
Last Update Date
2011-05-09
Business Address
-- MELAINA MARIE LANE MS, RD, LDN
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
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Mailing Address
-- MELAINA MARIE LANE MS, RD, LDN
1775 CANDY LN
CARBONDALE, IL 62902-1022
Phone number: 217-549-3301
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