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1083274161
JUSTIN BULLOCK
PHILADELPHIA, PA
NPI
1083274161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YS0200X Counselor, School
Enumeration Date
2019-06-19
Last Update Date
2019-06-19
Business Address
JUSTIN BULLOCK
1420 WALNUT ST STE 1350
PHILADELPHIA, PA 19102-4019
Phone number: 215-664-3200
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Mailing Address
JUSTIN BULLOCK
2506 CHATHAM RD
LANSING, MI 48910-2406
Phone number: 267-774-7088
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