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1932469301
MELISSA ANN FOSSUM
MEDFORD, OR
NPI
1932469301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OR RPH-0013796-p)
Enumeration Date
2012-05-20
Last Update Date
2017-08-16
Business Address
Dr. MELISSA ANN FOSSUM Pharm D
19 MYRTLE ST
MEDFORD, OR 97504-7337
Phone number: 541-773-3863
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Mailing Address
Dr. MELISSA ANN FOSSUM Pharm D
900 E MAIN ST
MEDFORD, OR 97504-7136
Phone number: 5418-427-7704
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