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1710014626
TERESA MARIE BULLOCK
HEMET, CA
NPI
1710014626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-02-27
Last Update Date
2007-07-09
Business Address
-- TERESA MARIE BULLOCK RRW
960 N STATE ST STE B
HEMET, CA 92543-1473
Phone number: 951-652-3560
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Mailing Address
-- TERESA MARIE BULLOCK RRW
20500 TELFORD AVE
PERRIS, CA 92570-8952
Phone number: 951-940-4620
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