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1043722556
FREDERICK MERRITT
BELLEVILLE, IL
NPI
1043722556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2017-10-25
Last Update Date
2017-10-25
Business Address
FREDERICK MERRITT
315 CAMPUS DR
BELLEVILLE, IL 62221-5813
Phone number: 314-393-3335
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Mailing Address
FREDERICK MERRITT
1600 LOCUST ST UNIT 803
SAINT LOUIS, MO 63103-1810
Phone number: 314-393-3335
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