LEO EMMITT BULLARD

ROCHESTER, NY
NPI1598125999
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  324913)
Enumeration Date2016-02-26
Last Update Date2020-12-07
Business Address
LEO EMMITT BULLARD
4581 LAKE AVE APT C
ROCHESTER, NY 14612-4528
Phone number: 585-490-6214
Mailing Address
LEO EMMITT BULLARD
4581 LAKE AVE APT C
ROCHESTER, NY 14612-4528
Phone number: 585-490-6214
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