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1386093078
PATRICIA TAMMETTE BULLOCK
MONROE, LA
NPI
1386093078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: LA 6359)
Enumeration Date
2016-06-03
Last Update Date
2016-06-03
Business Address
MRS. PATRICIA TAMMETTE BULLOCK PLPC
622 RIVERSIDE DR
MONROE, LA 71201-6211
Phone number: 318-398-0945
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Mailing Address
MRS. PATRICIA TAMMETTE BULLOCK PLPC
56 RATTLESNAKE RD
MANGHAM, LA 71259-5332
Phone number: 318-537-6220
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