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Individual

LARRY L PULLIAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2953 CIRCLING HAWK ST, GRAND JUNCTION, CO 81503-8306
(970) 623-2970
Mailing address
2953 CIRCLING HAWK ST, GRAND JUNCTION, CO 81503-8306
(970) 623-2970

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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