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MRS. MELANIE SUE SCURLOCK LPN LICENSED PRACTIC
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1255485488
Individual Registrant:MRS. MELANIE SUE SCURLOCK LPN LICENSED PRACTIC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
114 MILL ST PLEASANT CITY, OH 43772 US
Tel: 740-685-1659 Fax: --
Tel: 740-685-1659 Fax: --
Contact information for business:
PO BOX 35 114 MILL ST PLEASANT CITY, OH 43772 US
Tel: 740-685-1659 Fax: --
Tel: 740-685-1659 Fax: --
Registration Information:
NPI: 1255485488
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163W00000X | Nursing Service Providers Registered Nurse | OH | PN094531 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| OHIO PROVIDER | 2156385 | OH | 01 |
