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1598367526
GEOFF BULLOCK
KETCHIKAN, AK
NPI
1598367526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2020-11-13
Last Update Date
2021-02-09
Business Address
GEOFF BULLOCK
410 TOWER RD
KETCHIKAN, AK 99901-5357
Phone number: 907-723-3791
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Mailing Address
GEOFF BULLOCK
721 STEDMAN ST
KETCHIKAN, AK 99901-6632
Phone number: 907-225-7825
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