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1366022915
IAN ALEXANDER MELLIS
NEW YORK, NY
NPI
1366022915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-08
Last Update Date
2021-04-08
Business Address
Dr. IAN ALEXANDER MELLIS
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number: 212-305-5697
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Mailing Address
Dr. IAN ALEXANDER MELLIS
1909 FITZWATER ST APT 3
PHILADELPHIA, PA 19146-1817
Phone number: 914-646-3383
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