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1053532044
EDISON VICTOR DE MELLO
SANTA MONICA, CA
NPI
1053532044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA N78519)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
-- EDISON VICTOR DE MELLO MD PhD
520 ARIZONA AVENUE
SANTA MONICA, CA 90401
Phone number: 310-451-8880
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Mailing Address
-- EDISON VICTOR DE MELLO MD PhD
520 ARIZONA AVENUE
SANTA MONICA, CA 90401
Phone number: 310-451-8880
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