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Individual

DR. MOLLIE MELINDA JAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
3010 WILLIAMS DR STE 210, GEORGETOWN, TX 78628-2787
(512) 756-2525
(512) 756-2533
Mailing address
3010 WILLIAMS DR STE 210, GEORGETOWN, TX 78628-2787
(512) 756-2525
(512) 756-2533

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OT011014
PA

Other

Enumeration date
01/20/2008
Last updated
02/05/2013
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