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Organization

PREMIERNEURO, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIRSA NIELAND (OWNER/PRESIDENT)
(919) 803-5480
Entity
Organization

Contact information

Practice address
1130 KILDAIRE FARM RD, SUITE 100, CARY, NC 27511-4561
(919) 803-5480
(919) 803-5481
Mailing address
1130 KILDAIRE FARM RD, SUITE 100, CARY, NC 27511-4561
(919) 803-5480
(919) 803-5481

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary

Other

Enumeration date
11/09/2011
Last updated
03/13/2012
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