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1154699353
MELODY ELIST
WEST HOLLYWOOD, CA
NPI
1154699353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA21954)
Enumeration Date
2011-12-02
Last Update Date
2014-11-05
Business Address
MELODY ELIST PA-C
8264 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90046-5915
Phone number: 323-522-2222
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Mailing Address
MELODY ELIST PA-C
8264 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90046-5915
Phone number: 323-522-2222
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