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1710295654
JOEANN BULLOCK
TROY, NY
NPI
1710295654
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Former Name
JOEANN MAYBEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 138565-1)
Enumeration Date
2010-09-14
Last Update Date
2010-09-14
Business Address
Ms. JOEANN BULLOCK LPN
297 8TH ST
TROY, NY 12180-2301
Phone number: 518-227-8847
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Mailing Address
Ms. JOEANN BULLOCK LPN
297 8TH ST
TROY, NY 12180-2301
Phone number: 518-227-8847
Copy
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