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1124497201
SHANTEL MERLIS
CERES, CA
NPI
1124497201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 290141)
Enumeration Date
2015-09-18
Last Update Date
2016-03-09
Business Address
-- SHANTEL MERLIS
1904 RICHLAND AVE
CERES, CA 95307
Phone number: 209-000-0000
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Mailing Address
-- SHANTEL MERLIS
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-000-0000
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