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1285056093
TIMOTHY MELLISH
COLUMBUS, OH
NPI
1285056093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OH 003942)
Enumeration Date
2014-01-13
Last Update Date
2018-08-03
Business Address
TIMOTHY MELLISH
793 W STATE ST
COLUMBUS, OH 43222
Phone number: 614-234-5180
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Mailing Address
TIMOTHY MELLISH
793 W STATE ST
COLUMBUS, OH 43222-1551
Phone number: 614-234-5180
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