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1578316998
KATIE JO MERRITT
BRIDGETON, MO
NPI
1578316998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner Women's Health
(Licence: MO 2024007828)
Enumeration Date
2024-04-08
Last Update Date
2024-04-08
Business Address
MRS. KATIE JO MERRITT
12277 DE PAUL DR STE 305
BRIDGETON, MO 63044-2529
Phone number: 314-344-7585
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Mailing Address
MRS. KATIE JO MERRITT
118 OLD COLLINSVILLE RD
CASEYVILLE, IL 62232-2401
Phone number: 618-806-2036
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