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1063621498
MICHELLE LEA FULK
BELOIT, WI
NPI
1063621498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Mr. MICHELLE LEA FULK
2530 SHADY LN
BELOIT, WI 53511-7029
Phone number: 608-361-9881
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Mailing Address
Mr. MICHELLE LEA FULK
2530 SHADY LN
BELOIT, WI 53511-7029
Phone number: 608-361-9881
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