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Individual

MELANIE GANTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
540 WALTON BLVD, STE C, LAS CRUCES, NM 88001-8433
(575) 525-2700
(575) 524-2045
Mailing address
540 WALTON BLVD, STE C, LAS CRUCES, NM 88001-8433
(575) 525-2700
(575) 524-2045

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2004-0012
NM

Other

Enumeration date
05/24/2006
Last updated
10/05/2016
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