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1508607425
JACK T MELMS
MADISON, WI
NPI
1508607425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-04
Last Update Date
2024-08-26
Business Address
JACK T MELMS
8002 WATTS RD
MADISON, WI 53719-3811
Phone number: 608-831-7770
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Mailing Address
JACK T MELMS
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233-2186
Phone number:
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