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DR. MELLORYA LYNN WYNN BULLARD DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1962488361

Individual Registrant:
DR. MELLORYA LYNN WYNN BULLARD DC
Gender: F
Sole Proprietor

Location and contact information for practice:
904 N DREW ST  STAR CITY, AR 71667-5730 US
Tel: 501-916-9692  Fax: --

Contact information for business:
904 N DREW ST  STAR CITY, AR 71667-5730 US
Tel: 501-231-8296  Fax: 870-628-3221

Registration Information:
NPI: 1962488361
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
AR1640

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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