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Individual

MRS. MELANIE K LOY FLANAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
43 FRUIT OF THE LOOM DRIVE, JAMESTOWN, KY 42629
(270) 343-4422
Mailing address
PO BOX 27, 43 FRUIT OF THE LOOM DRIVE, JAMESTOWN, KY 42629
(270) 343-4422

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6571
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60065711
KY
Enumeration date
10/31/2006
Last updated
07/08/2007
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