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1013082288
SUSAN A FULLER
ASHEBORO, NC
NPI
1013082288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 200909)
Enumeration Date
2006-11-22
Last Update Date
2019-09-20
Business Address
Dr. SUSAN A FULLER DNP, NP
300 MACK RD
ASHEBORO, NC 27205-1066
Phone number: 336-625-1172
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Mailing Address
Dr. SUSAN A FULLER DNP, NP
PO BOX 2005
ASHEBORO, NC 27204-2005
Phone number: 336-625-1172
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