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1134451529
THOMAS OWEN FULLMER
PROVIDENCE, UT
NPI
1134451529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: UT 7563542-1202)
Enumeration Date
2010-02-09
Last Update Date
2024-04-18
Business Address
DR. THOMAS OWEN FULLMER D.C.
1652 S HIGHWAY 165
PROVIDENCE, UT 84332-6701
Phone number: 435-752-5522
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Mailing Address
DR. THOMAS OWEN FULLMER D.C.
1652 S HIGHWAY 165
PROVIDENCE, UT 84332-6701
Phone number: 435-752-5522
Copy
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