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1740239755
MICHAEL J PERILLO
COLUMBIA, SC
NPI
1740239755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SC 882)
Enumeration Date
2006-05-08
Last Update Date
2008-10-15
Business Address
Mr. MICHAEL J PERILLO CRNA
21 STONEBRIAR RD
COLUMBIA, SC 29212-8531
Phone number: 803-407-5266
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Mailing Address
Mr. MICHAEL J PERILLO CRNA
PO BOX 1637
IRMO, SC 29063-1637
Phone number: 803-407-5266
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