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1154537959
JAMES O. FULLER
MARION, IN
NPI
1154537959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: IN 39000402A)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
DR. JAMES O. FULLER PH. D., LMHC
718 W SPENCER AVE
MARION, IN 46952-3424
Phone number: 765-677-2570
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Mailing Address
DR. JAMES O. FULLER PH. D., LMHC
718 W SPENCER AVE
MARION, IN 46952-3424
Phone number: 765-677-2570
Copy
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