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1215786785
MIRIAM BOULAY
MARIETTA, GA
NPI
1215786785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN250948)
Enumeration Date
2024-05-16
Last Update Date
2024-06-12
Business Address
MIRIAM BOULAY CRNA
2540 WINDY HILL RD SE
MARIETTA, GA 30067-8605
Phone number: 470-644-1274
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Mailing Address
MIRIAM BOULAY CRNA
6791 FAIRWAY RIDGE DR
DOUGLASVILLE, GA 30134-1713
Phone number: 774-444-0057
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