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1780987032
MERRI DORETHA ELLISON
MONTGOMERY, AL
NPI
1780987032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1105095)
Enumeration Date
2010-12-08
Last Update Date
2021-06-03
Business Address
MERRI DORETHA ELLISON
1845 CHERRY ST
MONTGOMERY, AL 36107-2613
Phone number: 334-420-5001
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Mailing Address
MERRI DORETHA ELLISON
PO BOX 70365
MONTGOMERY, AL 36107-0365
Phone number: 334-420-5038
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