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Affie Bullock
NPI 1083321301 · on the registry since 2022 · sole proprietor
Practice
- Address
- 26797 Roseland Rd
Elkhart, IN 46514 - Phone
- (574) 215-6628
Registry record
- Primary taxonomy
- Private Vehicle
347C00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana