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Melissa Deckard
Specialist in Pine River, Minnesota
NPI 1679753263

Melissa Deckard is a Specialist based in Pine River, MN. Melissa Deckard practices in Pine River, MN. The NPI Number for Melissa Deckard is 1679753263 and holds a License No. OTT200024 (Minnesota).

The current practice location address for Melissa Deckard is 530 2Nd St Sw, Pine River, MN and can be reached out via phone at 601-669-0848.

Location: 530 2Nd St Sw, Pine River, MN, 56474-4019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679753263
Provider Name
Melissa Deckard
Credential
Provider Entity Type
Individual
Gender
Female
Address
530 2Nd St Sw, Pine River, MN, 56474-4019
Phone Number
601-669-0848
Fax Number
Provider Enumeration Date
11/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
530 2Nd St Sw
City
Pine River
State
Minnesota
Zip
56474-4019
Phone Number
601-669-0848
Fax Number
person
Provider Business Mailing Address Details
Address
530 2Nd St Sw
City
Pine River
State
Minnesota
Zip
56474-4019
Phone Number
601-669-0848
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OTT200024 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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