Melissa Deckard

NPI 1679753263 - Specialist - 174400000X

NPI Details
NPI 1679753263
Gender Female
Enumeration Date 11/12/2007
Last Updated 11/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
530 2ND ST SW
PINE RIVER MN, 56474-4019, US
Phone (601) 669-0848
Fax
Business Location
530 2ND ST SW
PINE RIVER MN, 56474-4019, US
Phone (601) 669-0848
Fax
Toxanomy
Taxonomy Code 174400000X
License State Mississippi
License Number OT1872
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According to our database, Melissa Deckard NPI is 1679753263, taxonomy code is 174400000X and license number is OT1872, license state is located at Mississippi. Melissa Deckard physically located at 530 2nd St Sw, Pine River MN, 56474-4019. NPI Number Melissa Deckard has the Individual type.

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1679753263 NPI number is provided on an as is basis without warranty of any kind. 1679753263 is maintained by the National Plan & Provider Enumeration System. The contents of Melissa Deckard are for informational purposes only.