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Individual
REBECCA ANN MELLA
Active
Individual
REBECCA ANN MELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA.ATC,LAT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000085
CT
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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