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1912724774
STEPHEN BENJAMIN MERRITT
COACHELLA, CA
NPI
1912724774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95032301)
Enumeration Date
2024-09-23
Last Update Date
2024-09-23
Business Address
STEPHEN BENJAMIN MERRITT
1293 6TH ST
COACHELLA, CA 92236-1707
Phone number: 760-391-5151
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Mailing Address
STEPHEN BENJAMIN MERRITT
79440 CORPORATE CENTER DR STE 110
LA QUINTA, CA 92253-7243
Phone number: 760-625-0569
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