DIANNE LEE FULLER

SALT LAKE CITY, UT
NPI1124347786
Former NameDIANNE LEE FULLER CLYDE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  308008-4405)
Enumeration Date2010-05-21
Last Update Date2010-05-21
Business Address
-- DIANNE LEE FULLER FNP-C
3690 S MAIN ST
SALT LAKE CITY, UT 84115-4423
Phone number: 801-910-3690
Mailing Address
-- DIANNE LEE FULLER FNP-C
10 S 2000 E UNIVERSITY OF UTAH COLLEGE OF NURSING
SALT LAKE CITY, UT 84112-5880
Phone number: 801-582-5573
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