ROBERT FULLER

UPLAND, CA
NPI1609998459
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  AII053220318)
Enumeration Date2007-04-04
Last Update Date2023-10-26
Business Address
MR. ROBERT FULLER
239 W 9TH ST
UPLAND, CA 91786-5979
Phone number: 909-981-6121
Mailing Address
MR. ROBERT FULLER
2948 GENEVIEVE ST
SAN BERNARDINO, CA 92405-3520
Phone number: 909-977-9702
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