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Individual
IMELDA S BULATAO
Active
Individual
IMELDA S BULATAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
35906
MN
207ZD0900X
Dermatopathology (Pathology) Physician
R7H57
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00040961
TN
Other
Enumeration date
04/13/2006
Last updated
09/28/2007
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