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1962874016
KOREY FULLER
BOSSIER CITY, LA
NPI
1962874016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-28
Last Update Date
2015-10-28
Business Address
-- KOREY FULLER
52 TURNBURY DR
BOSSIER CITY, LA 71111-8203
Phone number: 318-834-6048
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Mailing Address
-- KOREY FULLER
52 TURNBURY DR
BOSSIER CITY, LA 71111-8203
Phone number: 318-834-6048
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