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1780761387
LISA M MELLOR
FREEHOLD, NJ
NPI
1780761387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ MA59476)
Enumeration Date
2006-11-01
Last Update Date
2008-01-22
Business Address
-- LISA M MELLOR
1001 W MAIN ST SUITE B
FREEHOLD, NJ 07728-2579
Phone number: 732-294-2540
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Mailing Address
-- LISA M MELLOR
66 WEST GILBERT ST
REDBANK, NJ 07701
Phone number: 732-212-0051
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