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Individual

MELISSA GOMILLION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1900 S MOODYS CROSSROADS RD, RUTLEDGE, AL 36071-3616
(334) 335-3499
Mailing address
PO BOX 122, GLENWOOD, AL 36034-0122
(334) 535-0075

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2799
AL

Other

Enumeration date
10/02/2009
Last updated
10/02/2009
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