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1558946319
DEIDRA FULLER
MIDLAND, TX
NPI
1558946319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 60840)
Enumeration Date
2021-03-13
Last Update Date
2021-03-13
Business Address
DEIDRA FULLER
2711 DELANO AVE
MIDLAND, TX 79701-3102
Phone number: 432-816-2680
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Mailing Address
DEIDRA FULLER
2711 DELANO AVE
MIDLAND, TX 79701-3102
Phone number: 432-816-2680
Copy
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