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1104191139
CHRISTINE M FULLER
MERRILLVILLE, IN
NPI
1104191139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-03-08
Last Update Date
2012-03-08
Business Address
-- CHRISTINE M FULLER
1409 E 84TH PL
MERRILLVILLE, IN 46410-6451
Phone number: 219-794-2000
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Mailing Address
-- CHRISTINE M FULLER
8400 LOUISIANA ST
MERRILLVILLE, IN 46410-6385
Phone number: 219-757-1928
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