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1891015624
WANDA MAE BULLOCK
WASHINGTON, IN
NPI
1891015624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06000569A)
Enumeration Date
2010-06-03
Last Update Date
2010-06-03
Business Address
Mrs. WANDA MAE BULLOCK PTA
TROY ROAD
WASHINGTON, IN 47501
Phone number: 812-254-8500
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Mailing Address
Mrs. WANDA MAE BULLOCK PTA
TROY ROAD
WASHINGTON, IN 47501
Phone number: 812-254-9500
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