QUINCY FULLER

KENAI, AK
NPI1699455253
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-07-19
Last Update Date2025-06-19
Business Address
QUINCY FULLER
508 UPLAND ST
KENAI, AK 99611-8026
Phone number: 907-953-3491
Mailing Address
QUINCY FULLER
508 UPLAND ST
KENAI, AK 99611-8026
Phone number:
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