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1821670670
ABIGAIL ROSE LEI BULLOCK
MCMINNVILLE, OR
NPI
1821670670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-04-22
Last Update Date
2021-04-22
Business Address
ABIGAIL ROSE LEI BULLOCK
420 NE 5TH ST
MCMINNVILLE, OR 97128-4603
Phone number: 503-434-7462
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Mailing Address
ABIGAIL ROSE LEI BULLOCK
37 NE 78TH AVE
PORTLAND, OR 97213-6332
Phone number: 503-319-4782
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