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1073085999
ANTHONY RAYMOND FULLER
LUBBOCK, TX
NPI
1073085999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX AP140202)
Enumeration Date
2018-12-18
Last Update Date
2022-01-07
Business Address
ANTHONY RAYMOND FULLER CRNA
602 INDIANA AVE
LUBBOCK, TX 79415-3364
Phone number: 806-775-8200
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Mailing Address
ANTHONY RAYMOND FULLER CRNA
1122 BALLARD GREEN PL
BRANDON, FL 33511-2390
Phone number: 806-790-5329
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