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1427031368
MARY MELYSSA MORAN
WINSTON SALEM, NC
NPI
1427031368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 170177)
Enumeration Date
2005-11-23
Last Update Date
2007-08-30
Business Address
MARY MELYSSA MORAN CRNA
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-3069
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Mailing Address
MARY MELYSSA MORAN CRNA
2880 ATWOOD RD
WINSTON-SALEM, NC 27103-5473
Phone number: 336-765-5773
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