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1982893665
MELANIE B ILLICH
WACO, TX
NPI
1982893665
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TX J2104)
Enumeration Date
2007-10-18
Last Update Date
2021-01-03
Business Address
MELANIE B ILLICH MD
5010 LAKELAND CIRCLE SUITE B
WACO, TX 76710-2981
Phone number: 254-776-3486
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Mailing Address
MELANIE B ILLICH MD
5010 LAKELAND CIRCLE SUITE B
WACO, TX 76710-2981
Phone number: 254-776-3486
Copy
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