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1992356448
TAYNA FULLERTON
ALPENA, MI
NPI
1992356448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6802090619)
Enumeration Date
2019-09-26
Last Update Date
2019-09-26
Business Address
TAYNA FULLERTON LLBSW
400 JOHNSON ST
ALPENA, MI 49707-1434
Phone number: 989-356-2161
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Mailing Address
TAYNA FULLERTON LLBSW
621 W OLDFIELD ST APT 1
ALPENA, MI 49707-1876
Phone number: 313-829-2191
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