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1982333431
JACQUELINE YVONNE BULLOCK
ATLANTA, GA
NPI
1982333431
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: TN CN001423501)
Enumeration Date
2022-06-09
Last Update Date
2022-06-09
Business Address
Mrs. JACQUELINE YVONNE BULLOCK
155 TREADWICK DR # 5653
ATLANTA, GA 30350-5653
Phone number: 470-514-5954
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Mailing Address
Mrs. JACQUELINE YVONNE BULLOCK
155 TREADWICK DR # 5653
ATLANTA, GA 30350-5653
Phone number: 470-514-5954
Copy
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