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1265159321
NICHOLAS LUNA
MONTGOMERY, AL
NPI
1265159321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-144736)
Enumeration Date
2022-10-20
Last Update Date
2022-11-08
Business Address
NICHOLAS LUNA CRNP
4294 LOMAC ST
MONTGOMERY, AL 36106-3604
Phone number: 334-274-9000
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Mailing Address
NICHOLAS LUNA CRNP
PO BOX 370
FORTSON, GA 31808-0370
Phone number:
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