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1427222801
DEMITRIUS TARRO BULLOCK
WILMINGTON, DE
NPI
1427222801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-04-17
Last Update Date
2008-04-17
Business Address
-- DEMITRIUS TARRO BULLOCK
2814 LANCASTER AVE
WILMINGTON, DE 19805-5225
Phone number: 302-655-9880
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Mailing Address
-- DEMITRIUS TARRO BULLOCK
2814 LANCASTER AVE
WILMINGTON, DE 19805-5225
Phone number: 302-655-9880
Copy
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