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Individual

JAMIE JOHNSON GELLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1802 W 4TH STREET, WILMINGTON, DE 19805
(302) 655-5822
(302) 655-3541
Mailing address
PO BOX 151, NEW CASTLE, DE 19720-0151
(302) 652-2455
(302) 322-6251

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C2-0010792
DE

Other

Enumeration date
05/01/2012
Last updated
08/12/2020
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