LARRY DEAN MELLOTT

EPHRATA, PA
NPI1053932749
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: PA  RN645912)
Enumeration Date2020-05-04
Last Update Date2020-05-04
Business Address
LARRY DEAN MELLOTT CRNA
169 MARTIN AVE
EPHRATA, PA 17522-1724
Phone number: 717-738-6618
Mailing Address
LARRY DEAN MELLOTT CRNA
3421 CONCORD RD
YORK, PA 17402-9001
Phone number: 717-851-1405
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