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1588075402
RYAN BULLARD
LUBBOCK, TX
NPI
1588075402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP125507)
Enumeration Date
2014-05-13
Last Update Date
2017-02-20
Business Address
-- RYAN BULLARD
4515 MARSHA SHARP FWY
LUBBOCK, TX 79407-2520
Phone number: 806-744-7223
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Mailing Address
-- RYAN BULLARD
1000 FM 300
LEVELLAND, TX 79336-6235
Phone number: 806-894-7842
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