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1912952003
MELANIE GANTNER
LAS CRUCES, NM
NPI
1912952003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NM PA2004-0012)
Enumeration Date
2006-05-24
Last Update Date
2016-10-05
Business Address
-- MELANIE GANTNER PA
540 WALTON BLVD STE C
LAS CRUCES, NM 88001-8433
Phone number: 575-525-2700
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Mailing Address
-- MELANIE GANTNER PA
540 WALTON BLVD STE C
LAS CRUCES, NM 88001-8433
Phone number: 575-525-2700
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