JEREMIAH BULLOCK

BLOOMINGTON, CA
NPI1831950047
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-01-16
Last Update Date2024-01-16
Business Address
JEREMIAH BULLOCK
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2639
Phone number: 909-421-7120
Mailing Address
JEREMIAH BULLOCK
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2639
Phone number: 909-421-7120
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