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1053960047
DAVID ALEXANDER BULLOCK
SOUTHFIELD, MI
NPI
1053960047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2019-09-11
Last Update Date
2019-09-11
Business Address
MR. DAVID ALEXANDER BULLOCK
17320 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076-2102
Phone number: 734-330-3663
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Mailing Address
MR. DAVID ALEXANDER BULLOCK
17320 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076-2102
Phone number: 734-330-3663
Copy
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