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1174239545
NATHAN FULLEN
BRISTOL, VA
NPI
1174239545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2023-01-27
Last Update Date
2023-01-27
Business Address
NATHAN FULLEN
7353 REEDY CREEK RD
BRISTOL, VA 24202-1911
Phone number: 423-534-3220
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Mailing Address
NATHAN FULLEN
314 HAMILTON ST APT 1
JOHNSON CITY, TN 37604-6838
Phone number: 423-557-4765
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