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1932617743
JONATHAN BULLOCK
GREENVILLE, NC
NPI
1932617743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-07816)
Enumeration Date
2018-01-15
Last Update Date
2021-05-23
Business Address
JONATHAN BULLOCK PA-C
2100 STANTONSBURG RD
GREENVILLE, NC 27834-2818
Phone number: 252-847-4100
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Mailing Address
JONATHAN BULLOCK PA-C
2100 STANTONSBURG RD
GREENVILLE, NC 27834-2818
Phone number: 252-847-5473
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