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1740686740
GREGORY ALLEN MELDER
SHREVEPORT, LA
NPI
1740686740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: 14-576)
Enumeration Date
2014-11-18
Last Update Date
2014-11-19
Business Address
Mr. GREGORY ALLEN MELDER SA-C
2751 ALBERT L BICKNELL DR STE 3A
SHREVEPORT, LA 71103-3976
Phone number: 318-636-9905
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Mailing Address
Mr. GREGORY ALLEN MELDER SA-C
PO BOX 3858
SHREVEPORT, LA 71133-3858
Phone number: 318-636-9905
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