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1053866285
MATT EARL FULLER
CARLSBAD, CA
NPI
1053866285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 291579)
Enumeration Date
2016-08-17
Last Update Date
2016-08-17
Business Address
Dr. MATT EARL FULLER DPT
2077 LAS PALMAS DR
CARLSBAD, CA 92011-1519
Phone number: 760-918-9200
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Mailing Address
Dr. MATT EARL FULLER DPT
1042 N EL CAMINO REAL B-351
ENCINITAS, CA 92024-1322
Phone number: 760-918-9200
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