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1740997881
LAURIE MELLON
JACKSONVILLE, FL
NPI
1740997881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT28444)
Enumeration Date
2022-10-28
Last Update Date
2022-10-28
Business Address
LAURIE MELLON DPT
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
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Mailing Address
LAURIE MELLON DPT
501 LOS CAMINOS ST
SAINT AUGUSTINE, FL 32095-7417
Phone number: 904-343-2501
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