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VICKIE L MELVIN ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1184754020

Individual Registrant:
 VICKIE L MELVIN ATC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
600 HOYT ST  PERU, NE 68421 US
Tel: 402-872-2390  Fax: --

Contact information for business:
1908 PARK AVE  PERU, NE 68421-3044 US
Tel: --  Fax: --

Registration Information:
NPI: 1184754020
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
NE406

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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