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1205966546
ALEXANDER D FULLER
LAFAYETTE, CO
NPI
1205966546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
-- ALEXANDER D FULLER m.a.
400 E SIMPSON ST
LAFAYETTE, CO 80026-2394
Phone number: 303-665-2670
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Mailing Address
-- ALEXANDER D FULLER m.a.
400 E SIMPSON ST
LAFAYETTE, CO 80026-2394
Phone number: 303-665-2670
Copy
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