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1114068913
MICHAEL ALLEN FULBRIGHT
COLUMBIA, TN
NPI
1114068913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
MR. MICHAEL ALLEN FULBRIGHT
115 DYER STREET
COLUMBIA, TN 38401-2683
Phone number: 931-560-4237
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Mailing Address
MR. MICHAEL ALLEN FULBRIGHT
116 GRANADA DR
COLUMBIA, TN 38401-2683
Phone number: 931-698-0375
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