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1104096114
LEAH K. BULLARD
PENSACOLA, FL
NPI
1104096114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA20606)
Enumeration Date
2008-03-05
Last Update Date
2008-03-05
Business Address
Mrs. LEAH K. BULLARD PTA
5855 CREEK STATION DR
PENSACOLA, FL 32504-8626
Phone number: 850-477-6966
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Mailing Address
Mrs. LEAH K. BULLARD PTA
1153 GULF BREEZE PKWY
GULF BREEZE, FL 32561-4835
Phone number: 850-932-6382
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