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1073178141
KELLY FULGHAM
MEMPHIS, TN
NPI
1073178141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: TN 6540)
Enumeration Date
2019-05-04
Last Update Date
2019-05-04
Business Address
KELLY FULGHAM RDH
1723 KIRBY PKWY
MEMPHIS, TN 38120-4367
Phone number: 901-757-9696
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Mailing Address
KELLY FULGHAM RDH
3443 BAILEY CREEK CV S
COLLIERVILLE, TN 38017-9710
Phone number:
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