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Individual

MELOVE JO CASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
201 KENDALL DR, LAMAR, CO 81052-3939
(719) 336-0261
Mailing address
PO BOX 695, LEXINGTON, TN 38351-0695
(731) 614-2307

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28318
TN
363LF0000X
Family Nurse Practitioner
Primary
28318
TN

Other

Enumeration date
10/01/2020
Last updated
01/31/2023
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