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1447882121
MELLISA POWELL
CLERMONT, FL
NPI
1447882121
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Former Name
MELLISA POWELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11000443)
Enumeration Date
2020-02-10
Last Update Date
2021-08-06
Business Address
Mrs. MELLISA POWELL APRN
1920 DON WICKHAM DR
CLERMONT, FL 34711-1918
Phone number: 352-536-8761
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Mailing Address
Mrs. MELLISA POWELL APRN
1920 DON WICKHAM DR
CLERMONT, FL 34711-1918
Phone number: 352-536-8761
Copy
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