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Individual

MR. BRET MICHAEL BULLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP, FNP

Contact information

Practice address
141 N 160TH ST, GIRARD, KS 66743-9402
(620) 724-5255
Mailing address
141 N 160TH ST, GIRARD, KS 66743-9402
(620) 724-5255

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
154736
MO

Other

Enumeration date
07/09/2008
Last updated
07/09/2008
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