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Individual

MS. MELISSA CLEMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
38578 AVONDALE ST, WESTLAND, MI 48186-3737
(517) 962-1793
Mailing address
38578 AVONDALE ST, WESTLAND, MI 48186-3737
(517) 962-1793

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
06/15/2016
Last updated
06/15/2016
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