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1831221118
KIM E FULLER
LONG BEACH, CA
NPI
1831221118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC38537)
Enumeration Date
2007-03-12
Last Update Date
2015-06-30
Business Address
-- KIM E FULLER
1501 HUGHES WAY STE 150
LONG BEACH, CA 90810-1876
Phone number: 310-221-6336
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Mailing Address
-- KIM E FULLER
PO BOX 7402
LONG BEACH, CA 90807-0402
Phone number: 323-336-2294
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