MICHAEL FULLER

CARSON CITY, NV
NPI1144638594
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-07-30
Last Update Date2014-07-30
Business Address
-- MICHAEL FULLER
777 SILVER OAK DR APT D117
CARSON CITY, NV 89706-1908
Phone number: 775-443-0138
Mailing Address
-- MICHAEL FULLER
PO BOX 272
CARSON CITY, NV 89702-0272
Phone number: 775-443-0138
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