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1407271018
OWEN BULLOCK
OKLAHOMA CITY, OK
NPI
1407271018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-02-19
Last Update Date
2014-02-19
Business Address
-- OWEN BULLOCK
12429 PITTSBURGH AVE
OKLAHOMA CITY, OK 73120-6000
Phone number: 405-881-0107
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Mailing Address
-- OWEN BULLOCK
12429 PITTSBURGH AVE
OKLAHOMA CITY, OK 73120-6000
Phone number: 405-881-0107
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