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1366824054
DEREK MELLO
SUN CITY, AZ
NPI
1366824054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AZ AP7907)
Enumeration Date
2015-06-18
Last Update Date
2019-02-12
Business Address
DEREK MELLO FNP-C
13203 N 103RD AVE STE H5
SUN CITY, AZ 85351-3032
Phone number: 623-777-4747
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Mailing Address
DEREK MELLO FNP-C
5104 N 67TH AVE
GLENDALE, AZ 85303
Phone number: 602-899-4404
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