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1073064473
BRYNN FULLER
SEATTLE, WA
NPI
1073064473
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Former Name
BRYNN LEWIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA A160860096)
Enumeration Date
2016-10-20
Last Update Date
2018-11-13
Business Address
Mrs. BRYNN FULLER MS ATC
1101 MADISON ST STE 800
SEATTLE, WA 98104-1307
Phone number: 206-316-3083
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Mailing Address
Mrs. BRYNN FULLER MS ATC
994 56TH ST APT 8
OAKLAND, CA 94608-3132
Phone number: 206-310-7369
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