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MRS. MELANIE SUE SCURLOCK LPN LICENSED PRACTIC

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1255485488

Individual Registrant:
MRS. MELANIE SUE SCURLOCK LPN LICENSED PRACTIC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
114 MILL ST  PLEASANT CITY, OH 43772 US
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: --

Registration Information:
NPI: 1255485488
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
OHPN094531

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
OHIO PROVIDER2156385OH01




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