SHANE BULLOCK

SALT LAKE CITY, UT
NPI1033465950
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2012-07-29
Last Update Date2012-07-29
Business Address
-- SHANE BULLOCK
5456 ARCHES DR
SALT LAKE CITY, UT 84129-1704
Phone number: 801-815-2833
Mailing Address
-- SHANE BULLOCK
5456 ARCHES DR
SALT LAKE CITY, UT 84129-1704
Phone number:
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