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1114092178
LISA LYNN FULLER
FAYETTEVILLE, NC
NPI
1114092178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 6815)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
-- LISA LYNN FULLER MPT
396 ELEMENTARY DR
FAYETTEVILLE, NC 28301-6267
Phone number: 910-678-2789
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Mailing Address
-- LISA LYNN FULLER MPT
55 QUEENS COURT
ANGIER, NC 27501
Phone number: 919-639-3791
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