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1568221620
LUKE BULLOCK
CHARLOTTE, NC
NPI
1568221620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
LUKE BULLOCK
2001 VAIL AVE
CHARLOTTE, NC 28207-1248
Phone number: 704-304-7000
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Mailing Address
LUKE BULLOCK
1725 W LAKEVIEW DR UNIT 43
JOHNSON CITY, TN 37601-4311
Phone number: 931-572-7426
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