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1861476178
ELLEN M MELLICK
LA CROSSE, WI
NPI
1861476178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI 1395-033)
Enumeration Date
2005-11-30
Last Update Date
2007-07-08
Business Address
-- ELLEN M MELLICK PNP
212 11TH ST S
LA CROSSE, WI 54601-4116
Phone number: 608-791-9555
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Mailing Address
-- ELLEN M MELLICK PNP
212 11TH ST S
LA CROSSE, WI 54601-4116
Phone number: 608-791-9555
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