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1174856678
SHANELL MELISSA MALLORY
ELYRIA, OH
NPI
1174856678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN 102168)
Enumeration Date
2009-09-15
Last Update Date
2009-09-15
Business Address
Miss SHANELL MELISSA MALLORY lpn
815 CONCORD AVE
ELYRIA, OH 44035-6507
Phone number: 440-452-1353
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Mailing Address
Miss SHANELL MELISSA MALLORY lpn
815 CONCORD AVE
ELYRIA, OH 44035-6507
Phone number: 440-452-1353
Copy
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