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1215798731
CHRISTOPHER BULLOCK
LONGVIEW, WA
NPI
1215798731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WA CG61523060)
Enumeration Date
2024-01-22
Last Update Date
2024-01-22
Business Address
CHRISTOPHER BULLOCK CPC
748 14TH AVE
LONGVIEW, WA 98632-2315
Phone number: 360-200-5419
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Mailing Address
CHRISTOPHER BULLOCK CPC
PO BOX 2394
LONGVIEW, WA 98632-8455
Phone number: 360-200-5419
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