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1295087112
BURTON FULLMER
SALT LAKE CITY, UT
NPI
1295087112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 3785956004)
Enumeration Date
2012-10-03
Last Update Date
2012-10-03
Business Address
-- BURTON FULLMER LPC
5689 S REDWOOD RD SUITE 30
SALT LAKE CITY, UT 84123-5447
Phone number: 801-268-1715
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Mailing Address
-- BURTON FULLMER LPC
5689 S REDWOOD RD SUITE 30
SALT LAKE CITY, UT 84123-5447
Phone number: 801-268-1715
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