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1487912119
JAMIE JOHNSON GELLOCK
WILMINGTON, DE
NPI
1487912119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: DE C2-0010792)
Enumeration Date
2012-05-01
Last Update Date
2020-08-12
Business Address
JAMIE JOHNSON GELLOCK
1802 W 4TH STREET
WILMINGTON, DE 19805
Phone number: 302-655-5822
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Mailing Address
JAMIE JOHNSON GELLOCK
PO BOX 151
NEW CASTLE, DE 19720-0151
Phone number: 302-652-2455
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