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Individual

MR. PATRICK S. MERRIMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
NAVY MEDICINE SUPPORT COMMAND ATT: MEDICAL STAFF SVCS, BLDG H 2005 KNIGHT LANE, JACKSONVILLE, FL 32212-0140
(760) 725-3213
Mailing address
3715 LAKE SHORE RD, FALLBROOK, CA 92028-7874
(442) 333-8040

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary

Other

Enumeration date
12/20/2019
Last updated
12/20/2019
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