Individual
MELINDA SUE MOUNTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 DEPOT ST, GARDNER, IL 60424
(815) 237-2152
Mailing address
410 S FRONT ST, BRAIDWOOD, IL 60408-2007
(815) 458-3810
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
IL
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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