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1922194000
SELAM BULLOCK
RALEIGH, NC
NPI
1922194000
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Former Name
SELAMAWIT GHEBREMEDHIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 200201084)
Enumeration Date
2006-10-05
Last Update Date
2013-06-13
Business Address
Dr. SELAM BULLOCK MD
23 SUNNYBROOK RD SUITE 116
RALEIGH, NC 27610-1855
Phone number: 919-250-3478
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Mailing Address
Dr. SELAM BULLOCK MD
23 SUNNYBROOK RD SUITE 116
RALEIGH, NC 27610-1855
Phone number: 919-250-3478
Copy
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