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1144542697
MELLISA K IP
BROOKLYN, NY
NPI
1144542697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 296851-1)
Enumeration Date
2010-02-25
Last Update Date
2010-02-25
Business Address
-- MELLISA K IP
177 MINNA ST
BROOKLYN, NY 11218-2014
Phone number: 917-889-0896
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Mailing Address
-- MELLISA K IP
177 MINNA ST
BROOKLYN, NY 11218-2014
Phone number: 917-889-0896
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