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Individual

JAMES M BAZLUKI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
638 WALNUT ST, CARY, NC 27511-4224
(919) 291-6445
(919) 460-3573
Mailing address
302 SARABANDE DR, CARY, NC 27513-5195
(919) 234-9280

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0042
NC

Other

Enumeration date
02/02/2006
Last updated
07/08/2007
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