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Individual

JAMES MELLOH

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
76 HIGH ST, LEWISTON, ME 04240-7649
(207) 795-5709
Mailing address
76 HIGH ST, LEWISTON, ME 04240-7649
(207) 795-5709

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
013722
ME

Other

Enumeration date
01/28/2006
Last updated
07/08/2007
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