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1093855991
THOMAS FULWIDER
SACRAMENTO, CA
NPI
1093855991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA G41774)
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
THOMAS FULWIDER MD
4001 J ST
SACRAMENTO, CA 95819-3626
Phone number: 330-493-4443
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Mailing Address
THOMAS FULWIDER MD
4535 DRESSLER RD NW
CANTON, OH 44718-2545
Phone number: 330-493-4443
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