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Individual

MACKENZIE CATHERINE FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ND

Contact information

Practice address
307 S 12TH AVE STE 9, YAKIMA, WA 98902-3138
(509) 469-8870
Mailing address
85 RIMFIRE CIR, RENO, NV 89519-2989
(775) 848-7007

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary

Other

Enumeration date
06/28/2021
Last updated
06/28/2021
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