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1417457623
JEFFREY RAY FULKERSON
TEMPE, AZ
NPI
1417457623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC-21211)
Enumeration Date
2018-02-14
Last Update Date
2023-12-22
Business Address
Mr. JEFFREY RAY FULKERSON M Ed, MS, LAC, LPC
3920 S RURAL RD STE 112
TEMPE, AZ 85282-5500
Phone number: 480-428-2944
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Mailing Address
Mr. JEFFREY RAY FULKERSON M Ed, MS, LAC, LPC
3920 S RURAL RD STE 112
TEMPE, AZ 85282-5500
Phone number: 480-428-2944
Copy
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