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1811062623
MELONIE M RICHARDSON
CHAMPAIGN, IL
NPI
1811062623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209004802)
Enumeration Date
2006-11-21
Last Update Date
2024-03-18
Business Address
Mrs. MELONIE M RICHARDSON NP
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820-2101
Phone number: 217-356-1558
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Mailing Address
Mrs. MELONIE M RICHARDSON NP
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820-2101
Phone number: 217-356-1558
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