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1124094685
MIRIAM C. FULTON
POMONA, CA
NPI
1124094685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA RN247519)
Enumeration Date
2006-02-24
Last Update Date
2007-07-08
Business Address
Mrs. MIRIAM C. FULTON R.N., NP
1798 N GAREY AVE
POMONA, CA 91767-2918
Phone number: 909-865-9850
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Mailing Address
Mrs. MIRIAM C. FULTON R.N., NP
2030 AVENIDA HACIENDA
CHINO HILLS, CA 91709-4700
Phone number: 909-393-7913
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