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1942258595
BRIAN JAY FULLER
PORTAGE, MI
NPI
1942258595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301013172)
Enumeration Date
2006-05-05
Last Update Date
2012-06-19
Business Address
Mr. BRIAN JAY FULLER Ph.D.
1662 E CENTRE AVE
PORTAGE, MI 49002-4410
Phone number: 269-321-8564
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Mailing Address
Mr. BRIAN JAY FULLER Ph.D.
5340 HOLIDAY TER
KALAMAZOO, MI 49009-2196
Phone number: 269-321-8564
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