ELAINE S BULLOCK

SHREVEPORT, LA
NPI1326468745
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-04-24
Last Update Date2014-08-05
Business Address
-- ELAINE S BULLOCK
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-7869
Mailing Address
-- ELAINE S BULLOCK
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-7869
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