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1417069865
MARK RICHARD DIRIENZO
WINSTON SALEM, NC
NPI
1417069865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 093106)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- MARK RICHARD DIRIENZO CRNA
145 KIMEL PARK DR SUITE 300
WINSTON SALEM, NC 27103-6984
Phone number: 336-768-3212
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Mailing Address
-- MARK RICHARD DIRIENZO CRNA
145 KIMEL PARK DR SUITE 300
WINSTON SALEM, NC 27103-6984
Phone number: 336-768-3212
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