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1801871702
GARY MICHAEL GRAHAM
WINSTON SALEM, NC
NPI
1801871702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 38848)
Enumeration Date
2005-12-13
Last Update Date
2017-09-12
Business Address
Mr. GARY MICHAEL GRAHAM CRNA
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-713-2697
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Mailing Address
Mr. GARY MICHAEL GRAHAM CRNA
432 GROVE PARK LN
LEXINGTON, NC 27295-7378
Phone number: 336-764-8140
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