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Organization

JOHN L BULETTE MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN L BULETTE M.D. (OWNER)
(757) 442-2504
Entity
Organization

Contact information

Practice address
10150 ROGERS DR, NASSSAWADOX, VA 23413-0733
(757) 442-2504
Mailing address
PO BOX 733, NASSAWADOX, VA 23413-0733
(757) 442-2504

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
10/19/2007
Last updated
04/19/2024
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