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1891983748
CLAYTON MATTHEW BULLOCK
WEST HOLLYWOOD, CA
NPI
1891983748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA A94641)
Enumeration Date
2007-10-04
Last Update Date
2022-02-11
Business Address
Dr. CLAYTON MATTHEW BULLOCK MD, PhD
1152 N POINSETTIA PLACE #7
WEST HOLLYWOOD, CA 90046
Phone number: 323-632-8144
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Mailing Address
Dr. CLAYTON MATTHEW BULLOCK MD, PhD
1152 N POINSETTIA PL APT 7
WEST HOLLYWOOD, CA 90046-5797
Phone number: 323-632-8144
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