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1013565613
JUSTIN FULLER
PELL CITY, AL
NPI
1013565613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-131835)
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
JUSTIN FULLER CRNP
70 PLAZA DR
PELL CITY, AL 35125-9314
Phone number: 205-814-9284
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Mailing Address
JUSTIN FULLER CRNP
70 PLAZA DR
PELL CITY, AL 35125-9314
Phone number: 205-814-9284
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