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Individual
MR. ADAM JOSHUA FULLER
Active
Individual
MR. ADAM JOSHUA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
14009
CA
Other
Enumeration date
04/08/2011
Last updated
06/29/2019
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