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1679255442
LUCAS LEE FULLER
PLACERVILLE, CA
NPI
1679255442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-08-02
Last Update Date
2023-08-02
Business Address
LUCAS LEE FULLER
4748 STUDEBAKER RD
PLACERVILLE, CA 95667-8605
Phone number: 530-906-3872
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Mailing Address
LUCAS LEE FULLER
4748 STUDEBAKER RD
PLACERVILLE, CA 95667-8605
Phone number: 153-090-6387
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