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1710158027
DESIREE L FULTCHER
STOCKTON, CA
NPI
1710158027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: CA 101ym0800x)
Enumeration Date
2008-03-13
Last Update Date
2008-03-13
Business Address
Mrs. DESIREE L FULTCHER
2495 W MARCH LN STE 125
STOCKTON, CA 95207-8224
Phone number: 209-465-1080
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Mailing Address
Mrs. DESIREE L FULTCHER
2495 W MARCH LN STE 125
STOCKTON, CA 95207-8224
Phone number:
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