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1104824911
VERNON R. MCCULLOUGH
DALLAS, TX
NPI
1104824911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 583555)
Enumeration Date
2005-07-14
Last Update Date
2007-07-09
Business Address
VERNON R. MCCULLOUGH CRNA
5201 HARRY HINES BLVD DEPT. OF ANESTHESIOLOGY
DALLAS, TX 75235-7708
Phone number: 214-590-8329
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Mailing Address
VERNON R. MCCULLOUGH CRNA
PO BOX 660599
DALLAS, TX 75266-0599
Phone number: 214-590-4105
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