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1154806891
BYRAN KENDALL BULLOCK
TROY, MI
NPI
1154806891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MI 7501008226)
Enumeration Date
2018-09-28
Last Update Date
2018-09-28
Business Address
BYRAN KENDALL BULLOCK
3250 W BIG BEAVER RD STE 228
TROY, MI 48084-2909
Phone number: 248-792-3633
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Mailing Address
BYRAN KENDALL BULLOCK
1400 E JARVIS AVE
HAZEL PARK, MI 48030-1944
Phone number: 704-512-9316
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