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1336473032
BRIAN K FULLER
SAN DIEGO, CA
NPI
1336473032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-09-28
Last Update Date
2009-09-28
Business Address
-- BRIAN K FULLER
3211 JEFFERSON ST
SAN DIEGO, CA 92110-4424
Phone number: 619-682-4012
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Mailing Address
-- BRIAN K FULLER
2051 LILAC LN
ALPINE, CA 91901-2932
Phone number: 248-762-1014
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