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1730197211
KEITH A BULLER
LAKE CHARLES, LA
NPI
1730197211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA.200007.rx)
Enumeration Date
2006-08-03
Last Update Date
2013-01-04
Business Address
-- KEITH A BULLER P.A.
1701 OAK PARK BLVD
LAKE CHARLES, LA 70601-8911
Phone number: 337-494-3000
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Mailing Address
-- KEITH A BULLER P.A.
1701 OAK PARK BLVD
LAKE CHARLES, LA 70601-8911
Phone number: 337-494-3000
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