ROBERT TED LEWIS BULLARD

OKLAHOMA CITY, OK
NPI1770038614
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OK  65061)
Enumeration Date2016-08-21
Last Update Date2016-08-21
Business Address
Mr. ROBERT TED LEWIS BULLARD lpn
1215 NW 25TH ST
OKLAHOMA CITY, OK 73106-5629
Phone number: 405-525-2525
Mailing Address
Mr. ROBERT TED LEWIS BULLARD lpn
1215 NW 25TH ST
OKLAHOMA CITY, OK 73106-5629
Phone number: 405-525-2525
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