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Individual

MELISSA GODINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1617 BLACKHAWK WAY UNIT B, JBER, AK 99505-1305
(907) 347-3531
Mailing address
1617 BLACKHAWK WAY UNIT B, JBER, AK 99505-1305
(907) 347-3531

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2879
AK

Other

Enumeration date
07/30/2015
Last updated
07/30/2015
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