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1184958514
MELLANIE MEDINA
FORT BELVOIR, ZZ
NPI
1184958514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024168478)
Enumeration Date
2009-10-02
Last Update Date
2016-09-16
Business Address
-- MELLANIE MEDINA N.P.
5980 9TH ST BLDG 1259
FORT BELVOIR, ZZ
Phone number: 571-231-1210
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Mailing Address
-- MELLANIE MEDINA N.P.
5980 9TH ST BLDG 1259
FORT BELVOIR, VA 22060-5509
Phone number:
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