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Individual
JOSHUA MCMELLON
Active
Individual
JOSHUA MCMELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP8011
AZ
363LP0200X
Pediatric Nurse Practitioner
RN167123
AZ
Other
Enumeration date
07/07/2015
Last updated
08/03/2015
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