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1649578451
KEINISHA BULLARD
TYLER, TX
NPI
1649578451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA RN108766)
Enumeration Date
2011-03-02
Last Update Date
2014-10-14
Business Address
-- KEINISHA BULLARD CRNA
800 E DAWSON ST
TYLER, TX 75701-2036
Phone number: 903-531-4500
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Mailing Address
-- KEINISHA BULLARD CRNA
PO BOX 841656
DALLAS, TX 75284-1656
Phone number: 903-531-5000
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