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1306101563
CARLOS FULLER
CHARLOTTE, NC
NPI
1306101563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
173C00000X Reflexologist
(Licence: NC LMBT# 11837)
Enumeration Date
2012-07-12
Last Update Date
2012-07-12
Business Address
CARLOS FULLER LMBT# 11837
1406 BEATTIES FORD RD
CHARLOTTE, NC 28216-4550
Phone number: 704-492-6784
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Mailing Address
CARLOS FULLER LMBT# 11837
2401 ALLEGHANY ST
CHARLOTTE, NC 28208-3742
Phone number: 704-492-6784
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