ETHAN JEVON MERKEL

JASPER, IN
NPI1861966533
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: IN  71008754A)
Enumeration Date2019-01-16
Last Update Date2019-02-13
Business Address
ETHAN JEVON MERKEL AGACNP-BC
721 W 13TH ST STE 221
JASPER, IN 47546-1817
Phone number: 812-996-0564
Mailing Address
ETHAN JEVON MERKEL AGACNP-BC
PO BOX 1028
JASPER, IN 47547-1028
Phone number: 812-996-8478
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