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1326503707
MARY ALISE FULLER
WASHINGTON, DC
NPI
1326503707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-02-09
Last Update Date
2019-02-09
Business Address
Miss MARY ALISE FULLER
3030 30TH ST SE
WASHINGTON, DC 20020-1674
Phone number: 202-241-2168
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Mailing Address
Miss MARY ALISE FULLER
2396 ELVANS RD SE
WASHINGTON, DC 20020-3504
Phone number: 202-790-2335
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