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1881344000
CARLIE MELANCON
SHREVEPORT, LA
NPI
1881344000
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Other Name
CARLIE FALGOUT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
CARLIE MELANCON MD
251 ROMA DR
SHREVEPORT, LA 71105-3616
Phone number: 225-717-3987
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Mailing Address
CARLIE MELANCON MD
251 ROMA DR
SHREVEPORT, LA 71105-3616
Phone number: 225-717-3987
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