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1346752151
CHANEL DOMINQUE BULLOCK
PARAGOULD, AR
NPI
1346752151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A005316)
Enumeration Date
2017-11-02
Last Update Date
2024-11-12
Business Address
Ms. CHANEL DOMINQUE BULLOCK APN, FNP-C
2711 W KINGSHIGHWAY STE 10
PARAGOULD, AR 72450-2645
Phone number: 877-522-1275
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Mailing Address
Ms. CHANEL DOMINQUE BULLOCK APN, FNP-C
108 N SHACKLEFORD RD
LITTLE ROCK, AR 72211-2840
Phone number: 844-215-0731
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