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1487961504
MELINDA SUSAN WAX
FORT LEONARD WOOD, MO
NPI
1487961504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MO 2000154973)
Enumeration Date
2010-09-10
Last Update Date
2010-09-10
Business Address
Ms. MELINDA SUSAN WAX RN
199 EAST 4TH STREET BUILDING 2081, SUITE H.
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-329-1901
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Mailing Address
Ms. MELINDA SUSAN WAX RN
126 MISSOURI AVE. MEDDAC , CHRC , BOX 1229
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-329-1901
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