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1780605048
MELAINA ZANELE BLOMENKAMP
KINGMAN, AZ
NPI
1780605048
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Former Name
MELAINA ZANELE LELLA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 2731)
Enumeration Date
2006-07-22
Last Update Date
2009-06-30
Business Address
-- MELAINA ZANELE BLOMENKAMP PA-C
3269 STOCKTON HILL RD
KINGMAN, AZ 86409-3619
Phone number: 928-757-2101
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Mailing Address
-- MELAINA ZANELE BLOMENKAMP PA-C
410 BRITE DR
LAKE HAVASU CITY, AZ 86406-7088
Phone number: 928-854-2542
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