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1386107332
LANCE FULLER
BRYAN, TX
NPI
1386107332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2019-04-08
Last Update Date
2019-04-08
Business Address
LANCE FULLER
3370 S TEXAS AVE STE B
BRYAN, TX 77802-3127
Phone number: 979-595-1700
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Mailing Address
LANCE FULLER
1500 UNIVERSITY DR E STE 100
COLLEGE STATION, TX 77840-2600
Phone number: 979-383-2340
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