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1598145047
ANDREW MELANSON
KANSAS CITY, KS
NPI
1598145047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-05052)
Enumeration Date
2015-05-30
Last Update Date
2018-03-17
Business Address
ANDREW MELANSON DPT
1801 N 98TH STREET
KANSAS CITY, KS 66109
Phone number: 913-717-4750
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Mailing Address
ANDREW MELANSON DPT
2401 GILLHAM RD PROVIDER ENROLLMENT
KANSAS CITY, MO 64108-4619
Phone number: 816-701-5200
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