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1932749538
STAYLER MCOMIE
NEWPORT BEACH, CA
NPI
1932749538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 6111559-4405)
Enumeration Date
2020-01-10
Last Update Date
2020-02-17
Business Address
STAYLER MCOMIE
520 SUPERIOR AVE STE 255
NEWPORT BEACH, CA 92663-3668
Phone number: 951-756-2152
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Mailing Address
STAYLER MCOMIE
PO BOX 435
FERRON, UT 84523-0435
Phone number: 801-214-4665
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