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Individual
MELISSA ANN VALDELLON
Active
Individual
MELISSA ANN VALDELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002078
VA
152W00000X
Optometrist
OD 60237279
WA
152W00000X
Optometrist
Primary
OPT 15196 TLG
CA
Other
Enumeration date
08/17/2011
Last updated
02/24/2017
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