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1255476131
ADAM K FULLER
EVANSTON, WY
NPI
1255476131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WY 306)
Enumeration Date
2007-02-20
Last Update Date
2018-03-29
Business Address
ADAM K FULLER Ph.D.
191 OVERTHRUST RD
EVANSTON, WY 82930-9261
Phone number: 435-631-9918
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Mailing Address
ADAM K FULLER Ph.D.
235 HAYDEN AVE
EVANSTON, WY 82930-5606
Phone number: 435-631-9918
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