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1376091819
CHARLES FULLER
ONTARIO, OR
NPI
1376091819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-09-13
Last Update Date
2016-09-13
Business Address
-- CHARLES FULLER
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
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Mailing Address
-- CHARLES FULLER
331 SE 2ND ST
PENDLETON, OR 97801-2224
Phone number: 541-276-6207
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