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1053319178
WANDA C UNTCH
LUMBERTON, NC
NPI
1053319178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 179828)
Enumeration Date
2005-07-12
Last Update Date
2013-04-17
Business Address
-- WANDA C UNTCH CRNA
300 W 27TH ST
LUMBERTON, NC 28358-3075
Phone number: 910-671-5000
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Mailing Address
-- WANDA C UNTCH CRNA
300 W 27TH ST ATTN: WILLIAM J GUTEKUNST
LUMBERTON, NC 28358-3075
Phone number: 910-671-5000
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