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Individual
MISS MELANIE C BEAN
Active
Individual
MISS MELANIE C BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P.T., A.T.C.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
38771
CA
2255A2300X
Athletic Trainer
2000000758
CA
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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