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1699330803
MELINDA SUE NICHOLES
BRIDGETON, MO
NPI
1699330803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-05-02
Last Update Date
2019-05-02
Business Address
MELINDA SUE NICHOLES DPM
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
Phone number: 314-344-6000
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Mailing Address
MELINDA SUE NICHOLES DPM
4719 15TH AVE NE APT 106
SEATTLE, WA 98105-4462
Phone number: 715-563-7241
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