KRISTAN M BULLOCK

IDAHO FALLS, ID
NPI1689082521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist
(Licence: ID  SLP 2623)
Enumeration Date2014-07-23
Last Update Date2014-09-15
Business Address
KRISTAN M BULLOCK M.S., CCC-SLP
3715 WOODKING DR
IDAHO FALLS, ID 83404-4720
Phone number: 208-529-2255
Mailing Address
KRISTAN M BULLOCK M.S., CCC-SLP
2094 AUTUMN LN
IDAHO FALLS, ID 83404-8287
Phone number: 208-881-1309
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