BRETT A FULKS

URBANA, IL
NPI1174165310
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209019137)
Enumeration Date2019-10-09
Last Update Date2019-10-11
Business Address
BRETT A FULKS NP
611 W. PARK ST.
URBANA, IL 61801
Phone number: 217-383-3311
Mailing Address
BRETT A FULKS NP
611 W. PARK ST. FAPC
URBANA, IL 61801
Phone number:
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