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1881986735
REVIA S MELTON
MOBILE, AL
NPI
1881986735
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Former Name
REVIA COOK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AL 1017297)
Enumeration Date
2011-05-11
Last Update Date
2011-05-11
Business Address
-- REVIA S MELTON C.R.N.P.
3737 GOVERNMENT BLVD SUITE 408
MOBILE, AL 36693-4308
Phone number: 251-602-1911
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Mailing Address
-- REVIA S MELTON C.R.N.P.
PO BOX 37
SECTION, AL 35771-0037
Phone number: 256-609-4793
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