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Individual
MRS. MELINA DOCTO CANLAS KOCH
Active
Individual
MRS. MELINA DOCTO CANLAS KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2007007786-21
MN
363LG0600X
Gerontology Nurse Practitioner
2007007785
MN
Other
Enumeration date
04/09/2008
Last updated
12/01/2011
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