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1710445705
GARRETT SHANNON BULLOCK
TUSCALOOSA, AL
NPI
1710445705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AL 4719)
Enumeration Date
2019-03-08
Last Update Date
2019-03-08
Business Address
GARRETT SHANNON BULLOCK
3701 LOOP RD
TUSCALOOSA, AL 35404-5015
Phone number: 205-554-2000
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Mailing Address
GARRETT SHANNON BULLOCK
3701 LOOP RD
TUSCALOOSA, AL 35404-5099
Phone number: 205-554-2000
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