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1275309692
MARTHA BULLOCK
KETCHIKAN, AK
NPI
1275309692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-11-27
Last Update Date
2023-11-27
Business Address
MARTHA BULLOCK
201 DEERMOUNT ST
KETCHIKAN, AK 99901-6649
Phone number: 907-228-4900
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Mailing Address
MARTHA BULLOCK
2960 TONGASS AVE
KETCHIKAN, AK 99901-5742
Phone number: 907-228-4900
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