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1144575523
THERESA M FULLENKAMP
OSGOOD, IN
NPI
1144575523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 28170053A)
Enumeration Date
2012-07-20
Last Update Date
2021-03-26
Business Address
Mrs. THERESA M FULLENKAMP FNP
112 N BUCKEYE ST
OSGOOD, IN 47037-1134
Phone number: 812-689-3424
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Mailing Address
Mrs. THERESA M FULLENKAMP FNP
PO BOX 236
BATESVILLE, IN 47006-0236
Phone number: 812-933-5441
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