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1215197116
MELLISA SUE CONERLY
DURHAM, NC
NPI
1215197116
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Former Name
MELLISA SUE NOWAK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-03560)
Enumeration Date
2008-06-13
Last Update Date
2023-07-11
Business Address
MRS. MELLISA SUE CONERLY PA-C
4309 EMPEROR BLVD STE 125
DURHAM, NC 27703-8068
Phone number: 919-964-3535
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Mailing Address
MRS. MELLISA SUE CONERLY PA-C
4925 FLATHEAD PL
FUQUAY VARINA, NC 27526-3583
Phone number:
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