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1134109093
MICHAEL DWAIN FULTON
GARLAND, TX
NPI
1134109093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX J4130)
Enumeration Date
2006-01-18
Last Update Date
2014-05-29
Business Address
-- MICHAEL DWAIN FULTON D.O.
565 W I 30
GARLAND, TX 75043-5702
Phone number: 972-303-3030
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Mailing Address
-- MICHAEL DWAIN FULTON D.O.
PO BOX 9101
COPPELL, TX 75019-9494
Phone number: 972-745-7500
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