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Individual

HAILEY BULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1585 3RD ST, FORT JOHNSON, LA 71459-5102
(726) 780-2175
Mailing address
1585 3RD ST, FORT JOHNSON, LA 71459-5102
(726) 780-2175

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36114
NE

Other

Enumeration date
02/10/2022
Last updated
09/04/2025
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