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1861043325
DEANNA LILA FULLER
KENT, WA
NPI
1861043325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-09-26
Last Update Date
2019-09-26
Business Address
Mrs. DEANNA LILA FULLER
21417 122ND PLACE SE
KENT, WA 98031
Phone number: 253-639-0094
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Mailing Address
Mrs. DEANNA LILA FULLER
21417 122ND PLACE SE
KENT, WA 98031
Phone number: 253-639-0094
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