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1811443179
BRANDIE FULBRIGHT
LUBBOCK, TX
NPI
1811443179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
315P00000X Intermediate Care Facility, Intellectual Disabilities
(Licence: TX 007350)
Enumeration Date
2016-08-28
Last Update Date
2016-09-21
Business Address
-- BRANDIE FULBRIGHT
5322 22ND ST
LUBBOCK, TX 79407-2117
Phone number: 210-268-7759
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Mailing Address
-- BRANDIE FULBRIGHT
5322 22ND STREET
LUBBOCK, TX 79407
Phone number: 210-268-7759
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