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Individual

MELISSA BEDOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5473 GOLFVIEW AVE N, OAKDALE, MN 55128-1001
(802) 733-7456
Mailing address
5473 GOLFVIEW AVE N, OAKDALE, MN 55128-1001
(802) 733-7456

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
201987
MN
224Z00000X
Occupational Therapy Assistant
Primary
201987
MN

Other

Enumeration date
12/08/2014
Last updated
02/10/2015
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