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Individual
MELINDA OLIVER
Active
Individual
MELINDA OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA08290
TX
363A00000X
Physician Assistant
Primary
PA22435
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348807401
—
TX
Enumeration date
07/30/2012
Last updated
03/22/2019
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