Provider Information for 1417690025
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TERRI PULE
Sex: Female
NPI: 1417690025
Last Updated: 2022-04-20
Certification Date: 2022-04-20
Certification Date: 2022-04-20
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1417690025 | ||||||||
| Enumeration Date | 2022-04-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5333 LIKINI ST APT 1108 HONOLULU, HI 96818-1766 United States Phone: 808-979-4080 | Fax: | ||||||||
| Primary Practice Address | 5333 LIKINI ST APT 1108 HONOLULU, HI 96818-1766 United States Phone: 808-979-4080 | Fax: | ||||||||
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