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1134289457
ROBERT CLARK BOULLEMET
ANNISTON, AL
NPI
1134289457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: AL 1541)
Enumeration Date
2006-12-08
Last Update Date
2007-07-08
Business Address
ROBERT CLARK BOULLEMET LPC
215 E 20TH ST
ANNISTON, AL 36207-3201
Phone number: 256-236-2661
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Mailing Address
ROBERT CLARK BOULLEMET LPC
215 E 20TH ST
ANNISTON, AL 36207-3201
Phone number: 256-236-2661
Copy
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