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Individual

JANICE PULLIAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
6551 GRANBURY RD, FORT WORTH, TX 76133-4926
(817) 370-4530
(817) 370-4522
Mailing address
6551 GRANBURY RD, FORT WORTH, TX 76133-4926
(817) 370-4530
(817) 370-4522

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
601860
TX

Other

Enumeration date
06/27/2016
Last updated
06/27/2016
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