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Individual

MS. BOBBI ANNETTE BULLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
1611 12TH AVE RD, SUITE A, NAMPA, ID 83686-7715
(208) 468-9400
Mailing address
1611 12TH AVE RD, SUITE A, NAMPA, ID 83686-7715
(208) 468-9400

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-879A
ID

Other

Enumeration date
09/04/2008
Last updated
01/23/2014
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