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1790227452
SHAWNA MELLON
SAN DIEGO, CA
NPI
1790227452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95005424)
Enumeration Date
2016-11-12
Last Update Date
2018-12-27
Business Address
SHAWNA MELLON N.P.
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130-3318
Phone number: 858-764-3350
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Mailing Address
SHAWNA MELLON N.P.
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 858-764-3350
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