GRANT A BULLOCK

LAS VEGAS, NV
NPI1174086391
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: NV  DO3385)
Enumeration Date2019-04-14
Last Update Date2024-07-24
Business Address
MR. GRANT A BULLOCK
4029 DEAN MARTIN DR
LAS VEGAS, NV 89103-4138
Phone number: 702-848-2256
Mailing Address
MR. GRANT A BULLOCK
3014 W CHARLESTON BLVD STE 130
LAS VEGAS, NV 89102-0083
Phone number:
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