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1215640826
JULIANA MELLOR
RIVERHEAD, NY
NPI
1215640826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-12-28
Last Update Date
2022-12-28
Business Address
JULIANA MELLOR
1300 ROANOKE AVE
RIVERHEAD, NY 11901-2031
Phone number: 631-548-6000
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Mailing Address
JULIANA MELLOR
11 SHERI CT
FARMINGVILLE, NY 11738-1163
Phone number: 631-275-6153
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