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1093423352
DESIREE STARR FULLER
WATERTOWN, NY
NPI
1093423352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 350713)
Enumeration Date
2022-11-07
Last Update Date
2022-11-07
Business Address
DESIREE STARR FULLER FNP
1575 WASHINGTON ST
WATERTOWN, NY 13601-9371
Phone number: 315-785-4155
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Mailing Address
DESIREE STARR FULLER FNP
1575 WASHINGTON ST
WATERTOWN, NY 13601-9371
Phone number: 315-785-4155
Copy
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