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1023041902
JOHN ERIC MELLOTT
MISSION VIEJO, CA
NPI
1023041902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA16897)
Enumeration Date
2006-07-07
Last Update Date
2008-06-27
Business Address
-- JOHN ERIC MELLOTT P.A.
27700 MEDICAL CENTER RD
MISSION VIEJO, CA 92691-6426
Phone number: 949-364-1400
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Mailing Address
-- JOHN ERIC MELLOTT P.A.
PO BOX 660099
ARCADIA, CA 91066-0099
Phone number: 626-447-0296
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