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1144210527
CHERYL K FULLER
RAPID CITY, SD
NPI
1144210527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SD CP001051)
Enumeration Date
2005-10-26
Last Update Date
2019-04-19
Business Address
CHERYL K FULLER APRN, CDE
640 FLORMANN ST
RAPID CITY, SD 57701-4679
Phone number: 605-755-3300
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Mailing Address
CHERYL K FULLER APRN, CDE
PO BOX 950202
LOUISVILLE, KY 40295-0202
Phone number: 502-588-9490
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