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1366281396
MAKU MOANA MAREE FULLMER
LOGAN, UT
NPI
1366281396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: UT 13980508-3904)
Enumeration Date
2024-05-20
Last Update Date
2024-05-20
Business Address
MAKU MOANA MAREE FULLMER LAMFT
186 E 1800 N
LOGAN, UT 84341-2019
Phone number: 435-213-3062
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Mailing Address
MAKU MOANA MAREE FULLMER LAMFT
1765 E 1500 N
LOGAN, UT 84341-2929
Phone number: 435-512-3305
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