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1891171682
NICHOLAS DANE PULLIAM
WINSTON SALEM, NC
NPI
1891171682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 222016)
Enumeration Date
2015-08-04
Last Update Date
2015-08-04
Business Address
-- NICHOLAS DANE PULLIAM CRNA
145 KIMEL PARK DR SUITE 120
WINSTON SALEM, NC 27103-6984
Phone number: 336-768-3212
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Mailing Address
-- NICHOLAS DANE PULLIAM CRNA
145 KIMEL PARK DR SUITE 120
WINSTON SALEM, NC 27103-6984
Phone number: 336-768-3212
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