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Michelle Bullock
NPI 1487903662 · on the registry since 2012
Practice
- Address
- 4217 Nw 22nd St
Oklahoma City, OK 73107 - Phone
- (405) 431-9744
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma