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1558733113
MELISSA IRVINE
SAINT CHARLES, MO
NPI
1558733113
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Former Name
MELISSA CHAMPAGNE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2015034686)
Enumeration Date
2015-10-22
Last Update Date
2015-10-22
Business Address
-- MELISSA IRVINE
1475 KISKER RD
SAINT CHARLES, MO 63304-8781
Phone number: 636-498-7405
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Mailing Address
-- MELISSA IRVINE
1475 KISKER RD
SAINT CHARLES, MO 63304-8781
Phone number:
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