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1255440020
GINA M BULLOCK
PORTLAND, OR
NPI
1255440020
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: OR DP00244)
Enumeration Date
2006-08-29
Last Update Date
2023-03-07
Business Address
-- GINA M BULLOCK DPM
3508 NE BROADWAY ST
PORTLAND, OR 97232-1821
Phone number: 503-282-8777
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Mailing Address
-- GINA M BULLOCK DPM
3508 NE BROADWAY ST
PORTLAND, OR 97232-1821
Phone number: 503-282-8777
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