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Individual
MELISSA DEDEAUX
Active
Individual
MELISSA DEDEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNFA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
866162
MS
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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