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1104328970
MELISSA ANN GREEN
MYRTLE BEACH, SC
NPI
1104328970
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Former Name
MELISSA ANN ADELS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: SC 1659)
Enumeration Date
2018-03-07
Last Update Date
2018-03-07
Business Address
MELISSA ANN GREEN RD
3381 PHILLIS BLVD
MYRTLE BEACH, SC 29577-1560
Phone number: 843-477-0177
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Mailing Address
MELISSA ANN GREEN RD
3381 PHILLIS BLVD
MYRTLE BEACH, SC 29577-1560
Phone number: 843-477-0177
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