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1710740105
MICHELLE FULLER
IRVINE, CA
NPI
1710740105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 144451)
Enumeration Date
2024-01-30
Last Update Date
2024-01-30
Business Address
MICHELLE FULLER
19712 MACARTHUR BLVD STE 110
IRVINE, CA 92612-2407
Phone number: 714-468-5578
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Mailing Address
MICHELLE FULLER
3972 BARRANCA PKWY STE J140
IRVINE, CA 92606-1204
Phone number: 714-468-5578
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