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1407509094
ERNEST BULLOCK
WEST MEMPHIS, AR
NPI
1407509094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2022-02-02
Last Update Date
2022-02-02
Business Address
ERNEST BULLOCK COTA
800 W BROADWAY ST
WEST MEMPHIS, AR 72301-2912
Phone number: 870-735-5174
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Mailing Address
ERNEST BULLOCK COTA
800 W BROADWAY ST
WEST MEMPHIS, AR 72301-2912
Phone number:
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