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Individual

DR. BRUCE ELLIOTT MOCK JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, AUD

Contact information

Practice address
3909 WRIGHTSVILLE AVE, # 110, WILMINGTON, NC 28403-6241
(910) 791-4755
Mailing address
970 MALLARD BAY RD, HAMPSTEAD, NC 28443-2584
(910) 270-2961

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
9794
NC
237700000X
Hearing Instrument Specialist
9794
NC

Other

Enumeration date
12/17/2011
Last updated
12/22/2011
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