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1083616544
ALISHA M FULLER
MIDDLETOWN, NY
NPI
1083616544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 333950)
Enumeration Date
2005-08-15
Last Update Date
2008-10-31
Business Address
-- ALISHA M FULLER FNP
390 CRYSTAL RUN RD SUITE 102
MIDDLETOWN, NY 10941
Phone number: 845-692-8780
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Mailing Address
-- ALISHA M FULLER FNP
390 CRYSTAL RUN RD SUITE 102
MIDDLETOWN, NY 10941
Phone number: 845-692-8780
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