OWEN BULLOCK

OKLAHOMA CITY, OK
NPI1407271018
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-02-19
Last Update Date2014-02-19
Business Address
-- OWEN BULLOCK
12429 PITTSBURGH AVE
OKLAHOMA CITY, OK 73120-6000
Phone number: 405-881-0107
Mailing Address
-- OWEN BULLOCK
12429 PITTSBURGH AVE
OKLAHOMA CITY, OK 73120-6000
Phone number: 405-881-0107