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1124668132
TRACI A BULLOCK
ATHENS, AL
NPI
1124668132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL I28281)
Enumeration Date
2020-01-08
Last Update Date
2020-01-08
Business Address
TRACI A BULLOCK CRNP
101 FITNESS WAY STE 1200
ATHENS, AL 35611-2492
Phone number: 256-236-0636
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Mailing Address
TRACI A BULLOCK CRNP
101 FITNESS WAY STE 1200
ATHENS, AL 35611-2492
Phone number: 256-236-0636
Copy
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