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Wilfredo Bullock
NPI 1629556808 · on the registry since 2018 · sole proprietor
Practice
- Address
- 118 Harvey St
Belzoni, MS 39038 - Phone
- (601) 909-5995
Registry record
- Primary taxonomy
- Non-emergency Medical Transport (VAN)
343900000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-31
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 Mississippi