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1033698121
LAURA RUTH MELILLI
MEDFORD, NY
NPI
1033698121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 132686-1)
Enumeration Date
2018-08-09
Last Update Date
2018-08-09
Business Address
LAURA RUTH MELILLI LPN
1211 WAVE AVE
MEDFORD, NY 11763-1753
Phone number: 631-905-5073
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Mailing Address
LAURA RUTH MELILLI LPN
1211 WAVE AVE
MEDFORD, NY 11763-1753
Phone number: 631-905-5073
Copy
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