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1356547434
MALTON JOSEPH BULLOCK
BATON ROUGE, LA
NPI
1356547434
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: LA 04483R)
Enumeration Date
2007-06-25
Last Update Date
2007-07-08
Business Address
Dr. MALTON JOSEPH BULLOCK M.D.
4423 PINE PARK DR
BATON ROUGE, LA 70809-6922
Phone number: 225-924-4488
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Mailing Address
Dr. MALTON JOSEPH BULLOCK M.D.
4423 PINE PARK DR
BATON ROUGE, LA 70809-6922
Phone number: 225-924-4488
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