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1972120590
MEGEN YATES MELLOM
ROANOKE, VA
NPI
1972120590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024179583)
Enumeration Date
2020-06-30
Last Update Date
2020-06-30
Business Address
MEGEN YATES MELLOM FNP-c
2013 JEFFERSON ST SW
ROANOKE, VA 24014-2419
Phone number: 540-981-7377
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Mailing Address
MEGEN YATES MELLOM FNP-c
2013 JEFFERSON ST SW
ROANOKE, VA 24014-2419
Phone number: 540-981-7377
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