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Individual
LARRY L PULLIAM
Active
Individual
LARRY L PULLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0175277
CO
163W00000X
Registered Nurse
RN.210725 R
SC
Other
Enumeration date
12/24/2013
Last updated
12/24/2013
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