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1629664545
CHANTELL JANEE FULCHER
GARDENA, CA
NPI
1629664545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-12-15
Last Update Date
2020-12-15
Business Address
Ms. CHANTELL JANEE FULCHER
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9031
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Mailing Address
Ms. CHANTELL JANEE FULCHER
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9031
Copy
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