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1396187316
JORDAN BULLOCK
ADA, OK
NPI
1396187316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-07-18
Last Update Date
2015-07-06
Business Address
Mrs. JORDAN BULLOCK BSW
1308 CRADDUCK RD
ADA, OK 74820-8442
Phone number: 405-207-4006
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Mailing Address
Mrs. JORDAN BULLOCK BSW
929 N LINDA AVE
ADA, OK 74820-2609
Phone number: 405-207-4006
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