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1851816755
KENNETH LEON FULLER
YUBA CITY, CA
NPI
1851816755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2017-08-11
Last Update Date
2018-01-22
Business Address
Mr. KENNETH LEON FULLER
1965 LIVE OAK BLVD
YUBA CITY, CA 95991-8850
Phone number: 530-822-7200
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Mailing Address
Mr. KENNETH LEON FULLER
1965 LIVE OAK BLVD
YUBA CITY, CA 95991-8850
Phone number: 530-822-7200
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