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Individual

DR. MARIA FLORDESOL ABULOC CULPA-BONDAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, PMHNP-BC

Contact information

Practice address
145 STONE BROOKE DR, GRAY, GA 31032-5864
(478) 986-2776
Mailing address
145 STONE BROOKE DR, GRAY, GA 31032-5864
(478) 986-2776

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN109284
GA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
RN109284
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN109284
CLINICAL NURSE SPECIALIST - PMHCNS
GA
Enumeration date
03/13/2013
Last updated
01/28/2021
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