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1134702855
BRIAN CHRISTOPHER FULKS
LITTLE ROCK, AR
NPI
1134702855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AR 216101)
Enumeration Date
2021-04-30
Last Update Date
2021-06-04
Business Address
BRIAN CHRISTOPHER FULKS CRNA
9601 BAPTIST HEALTH DR
LITTLE ROCK, AR 72205-6321
Phone number: 501-202-2093
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Mailing Address
BRIAN CHRISTOPHER FULKS CRNA
11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK, AR 72211-4393
Phone number: 501-812-7215
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