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1710079736
KENT BULLIS
ITHACA, NY
NPI
1710079736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QA0000X Family Medicine, Adolescent Medicine
(Licence: IN 1034097)
Enumeration Date
2006-09-28
Last Update Date
2013-09-26
Business Address
Dr. KENT BULLIS MD
110 HO PLZ
ITHACA, NY 14853-3102
Phone number: 607-255-5155
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Mailing Address
Dr. KENT BULLIS MD
110 HO PLZ
ITHACA, NY 14853-3102
Phone number:
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