GEORGE EDWARD BULLOCK

BOSSIER CITY, LA
NPI1831115260
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  ATH.J00311)
Enumeration Date2006-07-15
Last Update Date2009-03-05
Business Address
Mr. GEORGE EDWARD BULLOCK MS, ATC
2000 CENTURYTEL CENTER DR
BOSSIER CITY, LA 71112-4586
Phone number: 318-752-2847
Mailing Address
Mr. GEORGE EDWARD BULLOCK MS, ATC
8938 BRANDON DR
SHREVEPORT, LA 71118-2327
Phone number: 318-464-5254
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