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1639586407
MELITTA BASA
JUPITER, FL
NPI
1639586407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-07-14
Last Update Date
2021-04-07
Business Address
MELITTA BASA
433 VIA DEL ORSO DR
JUPITER, FL 33477-4212
Phone number: 607-237-1414
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Mailing Address
MELITTA BASA
3111 N HOUSTON ST APT 1110
DALLAS, TX 75219-7865
Phone number: 607-237-1414
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