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1538302435
LARRY FULTON
GAINESVILLE, FL
NPI
1538302435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-04-08
Last Update Date
2009-04-08
Business Address
-- LARRY FULTON
3807 SW 34TH ST
GAINESVILLE, FL 32608-2511
Phone number: 352-378-4583
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Mailing Address
-- LARRY FULTON
3807 SW 34TH ST
GAINESVILLE, FL 32608-2511
Phone number:
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