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1053783027
MELLODY C. ESCO
GARY, IN
NPI
1053783027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL 2488224)
Enumeration Date
2015-10-29
Last Update Date
2015-10-29
Business Address
-- MELLODY C. ESCO
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
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Mailing Address
-- MELLODY C. ESCO
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
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