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1912089301
KIRSTIN M PELLOM
DURHAM, NC
NPI
1912089301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 140830)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
-- KIRSTIN M PELLOM CRNA
ERWIN RD
DURHAM, NC 27710-0001
Phone number: 919-684-8111
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Mailing Address
-- KIRSTIN M PELLOM CRNA
PO BOX 101737
ATLANTA, GA 30392-1737
Phone number:
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