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Individual

ALLAN C MERIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
810 N 22ND ST, BLAIR, NE 68008-1128
(402) 426-2182
Mailing address
123 E BARONAGE DR, BLAIR, NE 68008-1201
(402) 426-5787

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100081
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100081
ST LICENSEN
NE
Enumeration date
01/17/2007
Last updated
07/08/2007
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