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1316125958
SAUNDRA GAYLE BULLOCK
SACATON, AZ
NPI
1316125958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-11536)
Enumeration Date
2008-02-06
Last Update Date
2008-02-06
Business Address
-- SAUNDRA GAYLE BULLOCK LISAC
483 WEST SEEDFARM ROAD HUHUKAM HOSPITAL
SACATON, AZ 85247-0038
Phone number: 602-528-7146
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Mailing Address
-- SAUNDRA GAYLE BULLOCK LISAC
483 WEST SEEDFARM ROAD
SACATON, AZ 85247-0038
Phone number: 602-528-3321
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