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1043777576
JESSICA FULLER
BELLEVUE, NE
NPI
1043777576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 11706)
Enumeration Date
2019-02-20
Last Update Date
2023-06-01
Business Address
JESSICA FULLER PLMHP
11515 S 39TH ST
BELLEVUE, NE 68123-5200
Phone number: 402-292-9105
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Mailing Address
JESSICA FULLER PLMHP
7929 W CENTER RD
OMAHA, NE 68124-3104
Phone number: 877-518-1070
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