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1356948608
BAYLEE BULLOCK
PORTLAND, OR
NPI
1356948608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-10-08
Last Update Date
2020-10-08
Business Address
BAYLEE BULLOCK
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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Mailing Address
BAYLEE BULLOCK
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number:
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