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1912651399
AVERY LEIGH BULLOCK
BALTIMORE, MD
NPI
1912651399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-02-04
Last Update Date
2024-05-13
Business Address
AVERY LEIGH BULLOCK
600 N WOLFE ST
BALTIMORE, MD 21287-0005
Phone number: 410-955-5000
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Mailing Address
AVERY LEIGH BULLOCK
6201 GREENLEIGH AVE
MIDDLE RIVER, MD 21220-2004
Phone number: 410-955-5000
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