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1811267164
TYRONE S FULLER
TUKWILA, WA
NPI
1811267164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG60243981)
Enumeration Date
2012-01-04
Last Update Date
2012-01-04
Business Address
-- TYRONE S FULLER
6100 SOUTHCENTER BLVD FL 2 SOUND MENTAL HEALTH
TUKWILA, WA 98188-2442
Phone number: 206-444-7838
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Mailing Address
-- TYRONE S FULLER
1600 E OLIVE ST SOUND MENTAL HEALTH
SEATTLE, WA 98122-2735
Phone number: 206-302-2200
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