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1841283413
MELISSA W THIBAULT
ITHACA, NY
NPI
1841283413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NY 232165)
Enumeration Date
2005-08-29
Last Update Date
2008-11-13
Business Address
Dr. MELISSA W THIBAULT M.D.
201 DATES DR SUITE 201
ITHACA, NY 14850-1345
Phone number: 607-277-4097
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Mailing Address
Dr. MELISSA W THIBAULT M.D.
202 TAUGHANNOCK BLVD PO BOX 366
ITHACA, NY 14850-3328
Phone number: 607-277-3257
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