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Individual

MRS. MELANIE MARIE TEDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1331 E 4TH ST, OTTAWA, OH 45875-1545
(419) 523-9333
Mailing address
8681 ROAD H, OTTAWA, OH 45875-9653
(419) 523-9507

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
OH

Other

Enumeration date
05/04/2007
Last updated
07/08/2007
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