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1336781103
GARY MICHAEL FULLER
FULLERTON, CA
NPI
1336781103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2019-10-14
Last Update Date
2019-10-14
Business Address
GARY MICHAEL FULLER COUNSELOR ADDICTION
771 W ORANGETHORPE AVE
FULLERTON, CA 92832-2806
Phone number: 714-879-0929
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Mailing Address
GARY MICHAEL FULLER COUNSELOR ADDICTION
771 W ORANGETHORPE AVE
FULLERTON, CA 92832-2806
Phone number: 714-879-0929
Copy
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