KELLY LYN BULLOCK

SANDY, UT
NPI1568627347
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: UT  6975681-4102)
Enumeration Date2008-07-22
Last Update Date2011-12-22
Business Address
-- KELLY LYN BULLOCK SLP
870 E 9400 S STE 112
SANDY, UT 84094-3688
Phone number: 801-571-3081
Mailing Address
-- KELLY LYN BULLOCK SLP
870 E 9400 S STE 112
SANDY, UT 84094-3666
Phone number: 801-840-4361
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