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1023243367
MELONESE MCCALLISTER
PORTSMOUTH, VA
NPI
1023243367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: VA 0001199288)
Enumeration Date
2009-05-15
Last Update Date
2009-05-15
Business Address
-- MELONESE MCCALLISTER 0001199288
3604 TYRE NECK RD
PORTSMOUTH, VA 23703-3158
Phone number: 757-673-3243
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Mailing Address
-- MELONESE MCCALLISTER 0001199288
3604 TYRE NECK RD
PORTSMOUTH, VA 23703-3158
Phone number: 757-673-3243
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