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1861737629
THEODORE MELLO
CLOVIS, CA
NPI
1861737629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 39711)
Enumeration Date
2012-12-05
Last Update Date
2012-12-05
Business Address
-- THEODORE MELLO
145 SHAW AVE SUITE A
CLOVIS, CA 93612-3841
Phone number: 559-299-2244
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Mailing Address
-- THEODORE MELLO
8059 N 8TH ST
FRESNO, CA 93720-2220
Phone number:
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