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1134553332
KELLIE ANNE MELLON
PAOLI, PA
NPI
1134553332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: PA SP012992)
Enumeration Date
2013-08-25
Last Update Date
2013-08-25
Business Address
-- KELLIE ANNE MELLON
1776 E LANCASTER AVE
PAOLI, PA 19301-1550
Phone number: 610-647-4366
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Mailing Address
-- KELLIE ANNE MELLON
513 RASPBERRY LN
WEST CHESTER, PA 19382-2252
Phone number: 484-832-6491
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