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Individual

MELONIE WILLIAMS BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
340 GRANGER CIR, LANTANA, TX 76226-7380
(469) 685-4663
Mailing address
340 GRANGER CIR, LANTANA, TX 76226-7380
(469) 685-4663

Taxonomy

Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary

Other

Enumeration date
05/05/2008
Last updated
05/05/2008
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