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1184450157
FULERA HEALTHCARE LLC
BALTIMORE, MD
NPI
1184450157
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Entity Type
Organization
Authorized Contact
IDDRISU TIA
Owner
301-793-8201
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2024-09-09
Last Update Date
2024-09-09
Business Address
FULERA HEALTHCARE LLC
4108 MAINE AVE
BALTIMORE, MD 21207-7503
Phone number: 301-793-8201
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Mailing Address
FULERA HEALTHCARE LLC
4108 MAINE AVE
BALTIMORE, MD 21207-7503
Phone number: 301-793-8201
Copy
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