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Individual

JILL TEMPLETON DINUNZIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 343-7000
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
100127
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
092811
NC

Other

Enumeration date
02/11/2013
Last updated
06/28/2016
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