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1386692499
MICHAEL B. COUILLARD
CHARLOTTE, NC
NPI
1386692499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 040726)
Enumeration Date
2006-05-04
Last Update Date
2007-07-08
Business Address
-- MICHAEL B. COUILLARD CRNA
200 HAWTHORNE LANE
CHARLOTTE, NC 28204
Phone number: 704-384-4239
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Mailing Address
-- MICHAEL B. COUILLARD CRNA
PO BOX 65849
CHARLOTTE, NC 28265
Phone number:
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