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Individual

MS. MARY EMMA MEYLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
3900 FAIMES CT, COLLEGE STATION, TX 77845-3998
(817) 946-1284
Mailing address
3900 FAIMES CT, COLLEGE STATION, TX 77845-3998
(817) 946-1284

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MT115374
TX

Other

Enumeration date
08/22/2012
Last updated
08/22/2012
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