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1568908911
JACQUELINE BULLOCK
OAKLAND, CA
NPI
1568908911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-01-10
Last Update Date
2017-01-10
Business Address
-- JACQUELINE BULLOCK
9442 INTERNATIONAL BLVD
OAKLAND, CA 94603-1444
Phone number: 510-777-8448
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Mailing Address
-- JACQUELINE BULLOCK
9442 INTERNATIONAL BLVD
OAKLAND, CA 94603-1444
Phone number:
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