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1285096891
HARRISON JOHNSTON SHULL
ROANOKE, VA
NPI
1285096891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 0123456789)
Enumeration Date
2016-03-23
Last Update Date
2016-03-23
Business Address
Mr. HARRISON JOHNSTON SHULL
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
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Mailing Address
Mr. HARRISON JOHNSTON SHULL
PO BOX 1334
ARDEN, NC 28704-1334
Phone number: 304-640-4974
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