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Individual
SAM ANTHONY MELTON
Active
Individual
SAM ANTHONY MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0995615-NP
CO
Other
Enumeration date
05/19/2010
Last updated
11/27/2023
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