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Individual
MELISSA ELAINE DIVOLL
Active
Individual
MELISSA ELAINE DIVOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
RT10429
MA
227900000X
Registered Respiratory Therapist
TH2000
ME
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN03882
RI
Other
Enumeration date
02/20/2013
Last updated
09/12/2024
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