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1063582310
DIANE LYNNE MELLISH
AMITYVILLE, NY
NPI
1063582310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 335681-1)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
Mrs. DIANE LYNNE MELLISH RN
22 S KETCHAM AVE
AMITYVILLE, NY 11701-3520
Phone number: 631-598-0094
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Mailing Address
Mrs. DIANE LYNNE MELLISH RN
22 S KETCHAM AVE
AMITYVILLE, NY 11701-3520
Phone number: 631-598-0094
Copy
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