GWYNETTA BULLOCK

PEORIA, IL
NPI1427576883
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2017-09-06
Last Update Date2022-07-21
Business Address
GWYNETTA BULLOCK
1801 E SHADY OAK DR
PEORIA, IL 61614-7907
Phone number: 309-686-1948
Mailing Address
GWYNETTA BULLOCK
1801 E SHADY OAK DR
PEORIA, IL 61614-7907
Phone number: 309-686-1948
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