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1053673590
TERI LAVERENCE BULLOCK
WASHINGTON, DC
NPI
1053673590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2012-06-11
Last Update Date
2012-06-11
Business Address
TERI LAVERENCE BULLOCK
5104 HAYES ST NE
WASHINGTON, DC 20019-5554
Phone number: 202-422-8296
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Mailing Address
TERI LAVERENCE BULLOCK
5104 HAYES ST NE
WASHINGTON, DC 20019-5554
Phone number: 202-422-8296
Copy
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