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1508456732
MELLISA FANNING
HUNTSVILLE, AL
NPI
1508456732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AL 2394)
Enumeration Date
2021-01-21
Last Update Date
2021-01-21
Business Address
MELLISA FANNING OTD
717 MARINA PARK DR SE
HUNTSVILLE, AL 35803-3034
Phone number: 256-684-3368
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Mailing Address
MELLISA FANNING OTD
717 MARINA PARK DR SE
HUNTSVILLE, AL 35803-3034
Phone number: 256-684-3368
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