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SHADRICK BULLOCK
Peer Specialist
NPI: 1235025958Individual
Specialties, Licenses & Credentials
Peer SpecialistPrimary
Peer Specialist
Code: 175T00000X
Contact & Hours
- Address
- 8344 N 117TH EAST AVE
OWASSO, OK 74055 - Phone
- (918) 841-3794
Quick Facts
- NPI
- 1235025958
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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