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1104012921
FANTAYE MERID
SANTA MONICA, CA
NPI
1104012921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A94075)
Enumeration Date
2007-09-16
Last Update Date
2023-01-13
Business Address
Dr. FANTAYE MERID M.D.
1711 OCEAN PARK BLVD
SANTA MONICA, CA 90405-4901
Phone number: 310-450-4773
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Mailing Address
Dr. FANTAYE MERID M.D.
1711 OCEAN PARK BLVD
SANTA MONICA, CA 90405-4901
Phone number: 310-450-4773
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