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1922150978
MIRIAM K BULLARD
OAKLAND, CA
NPI
1922150978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: CA A79511)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
-- MIRIAM K BULLARD M.D.
1411 E 31ST ST
OAKLAND, CA 94602-1018
Phone number: 510-437-4965
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Mailing Address
-- MIRIAM K BULLARD M.D.
5528 PACHECO BLVD STE A
PACHECO, CA 94553-5126
Phone number: 925-363-8170
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