Individual
MR. HAROLD EARL TULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
60 2ND ST, STE. 203, SHALIMAR, FL 32579-1769
(850) 651-2286
(850) 651-2286
Mailing address
56 9TH AVE, SHALIMAR, FL 32579-1344
(850) 543-4355
(850) 651-2286
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA33743
FL
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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