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1790102960
MELISSA DOUGHERTY
LANSDALE, PA
NPI
1790102960
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Professional Name
MELISSA A RUSSO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: PA PN285972)
Enumeration Date
2014-03-25
Last Update Date
2014-03-25
Business Address
-- MELISSA DOUGHERTY
607 E MAIN ST
LANSDALE, PA 19446-2935
Phone number: 215-362-4950
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Mailing Address
-- MELISSA DOUGHERTY
607 EAST MAIN STREET
LANSDALE, PA 19446
Phone number: 215-362-4950
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