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1093012908
MARY BULLOCH
BROADLANDS, VA
NPI
1093012908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202005384)
Enumeration Date
2011-02-12
Last Update Date
2011-02-12
Business Address
-- MARY BULLOCH SLP
21895 CRESCENT PARK SQ APT 303
BROADLANDS, VA 20148-4434
Phone number: 724-433-9242
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Mailing Address
-- MARY BULLOCH SLP
21895 CRESCENT PARK SQ APT 303
BROADLANDS, VA 20148-4434
Phone number: 724-433-9242
Copy
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