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1235892787
MELISSA LICHTY
ST AUGUSTINE, FL
NPI
1235892787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11014936)
Enumeration Date
2021-10-20
Last Update Date
2022-07-10
Business Address
Mrs. MELISSA LICHTY APRN
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086-5784
Phone number: 904-819-5155
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Mailing Address
Mrs. MELISSA LICHTY APRN
20 BUTTERMILK DR
PALM COAST, FL 32137-9412
Phone number: 267-933-7225
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