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1710749288
NEW MERVEILLE LLC
PHOENIX, AZ
NPI
1710749288
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Entity Type
Organization
Authorized Contact
DESIRE NKOMEZI
Owner
817-707-2798
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-01-29
Last Update Date
2024-01-29
Business Address
NEW MERVEILLE LLC
2375 E CAMELBACK RD STE 600
PHOENIX, AZ 85016-3493
Phone number: 817-707-2798
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Mailing Address
NEW MERVEILLE LLC
4821 N 108TH AVE
PHOENIX, AZ 85037-5471
Phone number: 817-707-2798
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