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1104144336
MIRANDA WYNN BULLOCK-DAVIDSON
LEXINGTON, KY
NPI
1104144336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KY 10-027)
Enumeration Date
2010-05-12
Last Update Date
2010-05-12
Business Address
Mrs. MIRANDA WYNN BULLOCK-DAVIDSON M.S., CFY-SLP
1001 MONARCH ST STE. 110
LEXINGTON, KY 40513-1495
Phone number: 859-224-0834
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Mailing Address
Mrs. MIRANDA WYNN BULLOCK-DAVIDSON M.S., CFY-SLP
1001 MONARCH ST STE. 110
LEXINGTON, KY 40513-1495
Phone number: 859-224-0834
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