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1194799775
JOHN W BULLOCK
COLORADO SPRINGS, CO
NPI
1194799775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 013098)
Enumeration Date
2006-02-13
Last Update Date
2014-10-22
Business Address
JOHN W BULLOCK PA-C
2785 BOLEYN DR
COLORADO SPRINGS, CO 80920-5383
Phone number: 719-265-0017
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Mailing Address
JOHN W BULLOCK PA-C
2785 BOLEYN DR
COLORADO SPRINGS, CO 80920-5383
Phone number: 719-265-0017
Copy
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