STAN BULANOV

MARION, OH
NPI1841719580
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  APRN.CNP.021430)
Enumeration Date2017-09-13
Last Update Date2017-09-13
Business Address
STAN BULANOV CNP
175 EDGEFIELD BLVD
MARION, OH 43302-7821
Phone number: 740-751-6433
Mailing Address
STAN BULANOV CNP
9081 MISTY DAWN DR
COLUMBUS, OH 43240-6038
Phone number: