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Individual

ALLAN BULKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
76 PEACHTREE RD, SUITE 300, ASHEVILLE, NC 28803-3395
(828) 274-3477
Mailing address
76 PEACHTREE RD, SUITE 300, CHARLOTTE, NC 28803-3505
(828) 274-3477

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
203921
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
19390
SC

Other

Enumeration date
02/16/2015
Last updated
04/26/2016
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