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1134351703
JACKIE E FULLER-WOOSTER
OTTAWA, KS
NPI
1134351703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: KS T-LMSW 7563)
Enumeration Date
2009-08-17
Last Update Date
2009-08-17
Business Address
-- JACKIE E FULLER-WOOSTER T-LMSW
204 E 15TH ST
OTTAWA, KS 66067-3903
Phone number: 785-242-3780
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Mailing Address
-- JACKIE E FULLER-WOOSTER T-LMSW
2537 EISENHOWER RD PO BOX 677
OTTAWA, KS 66067-9482
Phone number: 785-242-3780
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