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1386790764
TOM FULLER
UKIAH, CA
NPI
1386790764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC 29968)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
-- TOM FULLER M.F.T.
518 S SCHOOL ST
UKIAH, CA 95482-5479
Phone number: 707-463-0901
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Mailing Address
-- TOM FULLER M.F.T.
518 S SCHOOL ST
UKIAH, CA 95482-5479
Phone number: 707-463-0901
Copy
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