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1578677159
JENNY RULLO
BANGOR, ME
NPI
1578677159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ME 021902)
Enumeration Date
2006-08-19
Last Update Date
2010-03-19
Business Address
JENNY RULLO CRNA
489 STATE ST EMMC
BANGOR, ME 04401-6616
Phone number: 207-973-4519
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Mailing Address
JENNY RULLO CRNA
PO BOX 404 C/O EMMC
BANGOR, ME 04402-0404
Phone number: 207-973-4519
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