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1437798865
NICHOLAS MCCULLOUGH
LAFAYETTE, LA
NPI
1437798865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA 210732)
Enumeration Date
2020-01-02
Last Update Date
2020-01-02
Business Address
Dr. NICHOLAS MCCULLOUGH DNP-NA, CRNA
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508-6902
Phone number: 337-521-9100
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Mailing Address
Dr. NICHOLAS MCCULLOUGH DNP-NA, CRNA
204 MILTON ESTATES LN
YOUNGSVILLE, LA 70592-6089
Phone number:
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