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1003229386
ANNA BULLOCK
AUSTIN, TX
NPI
1003229386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: TX AP126653)
Enumeration Date
2014-06-04
Last Update Date
2021-05-17
Business Address
ANNA BULLOCK NNP
2609 BLAKE ST
AUSTIN, TX 78748-3950
Phone number: 512-923-1509
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Mailing Address
ANNA BULLOCK NNP
6401 LLANO STAGE TRL
AUSTIN, TX 78738-6199
Phone number: 512-923-1509
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