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1184623639
DWAIN FULLER
DALLAS, TX
NPI
1184623639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: TX D3227)
Enumeration Date
2005-07-18
Last Update Date
2013-02-06
Business Address
-- DWAIN FULLER M.D. .
9600 N. CENTRAL EXPRESSWAY SUITE 100
DALLAS, TX 75231-5078
Phone number: 214-692-6941
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Mailing Address
-- DWAIN FULLER M.D. .
PO BOX 650037
DALLAS, TX 75265-0037
Phone number: 214-696-2008
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