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1851582142
MICKEY HUGH MELTON
OWENSBORO, KY
NPI
1851582142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ky-a3420)
Enumeration Date
2007-08-05
Last Update Date
2007-08-05
Business Address
-- MICKEY HUGH MELTON cota
2420 W 3RD ST
OWENSBORO, KY 42301-0328
Phone number: 270-685-4705
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Mailing Address
-- MICKEY HUGH MELTON cota
PO BOX 33
CALHOUN, KY 42327-0033
Phone number: 270-543-8869
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