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1295743045
ANDREW COLIN BULLOCK
SAN DIEGO, CA
NPI
1295743045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA 20A6842)
Enumeration Date
2006-08-04
Last Update Date
2011-03-29
Business Address
Mr. ANDREW COLIN BULLOCK DO
5575 RUFFIN RD #100
SAN DIEGO, CA 92123-1380
Phone number: 858-492-5410
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Mailing Address
Mr. ANDREW COLIN BULLOCK DO
PO BOX 33707
SAN DIEGO, CA 92163-3707
Phone number: 858-492-5410
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