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1043269582
LISA A MELLOW
JOHNSTON, RI
NPI
1043269582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: RI PT00687)
Enumeration Date
2006-05-10
Last Update Date
2009-04-08
Business Address
MS. LISA A MELLOW P.T.
1524 ATWOOD AVE DBA/ROBERT BUONANNO
JOHNSTON, RI 02919-3228
Phone number: 401-351-6200
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Mailing Address
MS. LISA A MELLOW P.T.
1524 ATWOOD AVE DBA/ROBERT BUONANNO
JOHNSTON, RI 02919-3228
Phone number: 401-351-6200
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