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1184625865
OLIVER C. BULLOCK
PHILADELPHIA, PA
NPI
1184625865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OS004271L)
Enumeration Date
2005-08-03
Last Update Date
2009-04-08
Business Address
-- OLIVER C. BULLOCK DO
2100 W CAMBRIA ST
PHILADELPHIA, PA 19132-2632
Phone number: 215-578-3300
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Mailing Address
-- OLIVER C. BULLOCK DO
2100 W CAMBRIA ST
PHILADELPHIA, PA 19132-2632
Phone number: 215-578-3300
Copy
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