LARRY FULTON

GAINESVILLE, FL
NPI1538302435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-04-08
Last Update Date2009-04-08
Business Address
-- LARRY FULTON
3807 SW 34TH ST
GAINESVILLE, FL 32608-2511
Phone number: 352-378-4583
Mailing Address
-- LARRY FULTON
3807 SW 34TH ST
GAINESVILLE, FL 32608-2511
Phone number:
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