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Individual
MELINDA MAE MANTOOTH
Active
Individual
MELINDA MAE MANTOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO217033
OR
207R00000X
Internal Medicine Physician
OP61477654
WA
208M00000X
Hospitalist Physician
DO217033
OR
Other
Enumeration date
04/06/2020
Last updated
09/01/2026
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