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1912678863
BRENT FULLER
LOS ANGELES, CA
NPI
1912678863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA 118763)
Enumeration Date
2021-09-21
Last Update Date
2024-01-16
Business Address
BRENT FULLER ASW
3881 S WESTERN AVE
LOS ANGELES, CA 90062-1105
Phone number: 626-630-7337
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Mailing Address
BRENT FULLER ASW
3881 S WESTERN AVE
LOS ANGELES, CA 90062-1105
Phone number: 626-630-7337
Copy
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