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1871971648
KRISTA MICHELLE POULTON
NORTH MYRTLE BEACH, SC
NPI
1871971648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 19457)
Enumeration Date
2015-05-13
Last Update Date
2015-05-13
Business Address
-- KRISTA MICHELLE POULTON FNP-BC
1010 HIGHWAY 17 N
NORTH MYRTLE BEACH, SC 29582-2806
Phone number: 866-389-2727
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Mailing Address
-- KRISTA MICHELLE POULTON FNP-BC
175 ROBINSON WALK APT A
BRISTOL, TN 37620-5929
Phone number: 423-878-7266
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