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1851721823
MELISSA CARROLL
MILWAUKEE, WI
NPI
1851721823
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Former Name
MELISSA MANTIK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 2013005281)
Enumeration Date
2013-11-12
Last Update Date
2021-06-05
Business Address
MELISSA CARROLL
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-7342
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Mailing Address
MELISSA CARROLL
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-7342
Copy
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