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Individual

MISS ELENA MELILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3233 HIGHWAY F, DEFIANCE, MO 63341-1213
(636) 542-1761
Mailing address
3233 HIGHWAY F, DEFIANCE, MO 63341-1213

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MO

Other

Enumeration date
11/26/2015
Last updated
11/26/2015
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