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1073054151
MELISSA CUSTIS
SALISBURY, NC
NPI
1073054151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC 5009354)
Enumeration Date
2017-03-09
Last Update Date
2017-03-09
Business Address
-- MELISSA CUSTIS PMHNP
1601 BRENNER AVE
SALISBURY, NC 28144-2515
Phone number: 704-638-9000
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Mailing Address
-- MELISSA CUSTIS PMHNP
1601 BRENNER AVE
SALISBURY, NC 28144-2515
Phone number: 704-638-9000
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