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1013075845
LARRY G BULLARD
MOULTON, AL
NPI
1013075845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
-- LARRY G BULLARD MS
317 HOSPITAL ST
MOULTON, AL 35650-1269
Phone number: 256-355-6105
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Mailing Address
-- LARRY G BULLARD MS
1316 SOMERVILLE RD SE SUITE 1
DECATUR, AL 35601-4305
Phone number:
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