Individual
JAMES C GULLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
281 W 11TH ST, BLOOMINGTON, IN 47404-3718
(979) 777-4957
Mailing address
281 W 11TH ST, BLOOMINGTON, IN 47404-3718
(979) 777-4957
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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