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1487853255
TAMRA MARIE BULLARD
RESTON, VA
NPI
1487853255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305204920)
Enumeration Date
2007-07-12
Last Update Date
2007-07-12
Business Address
-- TAMRA MARIE BULLARD PT
12052 N SHORE DR
RESTON, VA 20190-4969
Phone number: 703-707-0706
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Mailing Address
-- TAMRA MARIE BULLARD PT
12052 N SHORE DR
RESTON, VA 20190-4969
Phone number: 703-707-0706
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