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1598454563
MERON DESTA
SANTA CLARITA, CA
NPI
1598454563
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Former Name
MERON DESTA GESSESE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95023853)
Enumeration Date
2023-05-04
Last Update Date
2023-05-04
Business Address
MRS. MERON DESTA
25880 MCBEAN PKWY
SANTA CLARITA, CA 91355-2004
Phone number: 661-254-3766
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Mailing Address
MRS. MERON DESTA
9900 GOTHIC AVE
NORTH HILLS, CA 91343-1246
Phone number: 818-304-2907
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