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Individual

ALEXIS MELENDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
175 YORDON CENTER, DEKALB, IL 60115
(815) 753-0211
Mailing address
3728 VILAS RD, COTTAGE GROVE, WI 53527-9450
(872) 220-1234

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/04/2021
Last updated
03/04/2021
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