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1417551409
MIKHAEL JAMES FULLER
VANCOUVER, WA
NPI
1417551409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 123166)
Enumeration Date
2020-11-30
Last Update Date
2021-06-04
Business Address
MIKHAEL JAMES FULLER MA
3002 MAIN ST
VANCOUVER, WA 98663-2750
Phone number: 925-403-1737
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Mailing Address
MIKHAEL JAMES FULLER MA
3002 MAIN ST
VANCOUVER, WA 98663-2750
Phone number:
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