LAURA ANNE BULLOCK

LAS CRUCES, NM
NPI1679753768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: NM  4715)
Enumeration Date2007-11-06
Last Update Date2007-11-06
Business Address
Ms. LAURA ANNE BULLOCK LMT
1705 N VALLEY DR SUITE 2
LAS CRUCES, NM 88007-5121
Phone number: 575-650-6113
Mailing Address
Ms. LAURA ANNE BULLOCK LMT
4053 SHADOW RUN AVE
LAS CRUCES, NM 88011-9681
Phone number: 575-650-6113
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