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Individual

CHRIS GULLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1900 EASTWOOD RD, SUITE 15, WILMINGTON, NC 28403-7204
(910) 208-4079
Mailing address
1900 EASTWOOD RD, SUITE 15, WILMINGTON, NC 28403-7204
(910) 208-4079

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
HC4464
NC

Other

Enumeration date
11/10/2014
Last updated
11/10/2014
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