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1689807612
WENDELL BART BULLOCK
FLOWOOD, MS
NPI
1689807612
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Other Name
BART BULLOCK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MS PA00163)
Enumeration Date
2009-08-25
Last Update Date
2020-10-14
Business Address
Mr. WENDELL BART BULLOCK PA-C
104 BURNEY DR
FLOWOOD, MS 39232-6621
Phone number: 601-987-8200
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Mailing Address
Mr. WENDELL BART BULLOCK PA-C
104 BURNEY DR
FLOWOOD, MS 39232-6621
Phone number: 601-987-8200
Copy
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