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1598545873
GRANT MELLO
MODESTO, CA
NPI
1598545873
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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
2023-10-03
Last Update Date
2023-10-03
Business Address
GRANT MELLO
1441 FLORIDA AVE
MODESTO, CA 95350-4418
Phone number: 209-578-1211
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Mailing Address
GRANT MELLO
1923 MINARETS LN
CLOVIS, CA 93611-6995
Phone number: 561-389-5295
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