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1902543747
LUKE BULLARD
MADISON, WI
NPI
1902543747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175L00000X Homeopath
Additional Taxonomies
251V00000X Voluntary or Charitable
Enumeration Date
2022-05-13
Last Update Date
2022-05-13
Business Address
Mr. LUKE BULLARD
1827 E WASHINGTON AVE APT 271
MADISON, WI 53704-5270
Phone number: 617-817-5853
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Mailing Address
Mr. LUKE BULLARD
1827 E WASHINGTON AVE APT 271
MADISON, WI 53704-5270
Phone number: 617-817-5853
Copy