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1194018382
DEBRA D FULLER
KINGMAN, AZ
NPI
1194018382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 8956A)
Enumeration Date
2011-05-19
Last Update Date
2011-05-19
Business Address
-- DEBRA D FULLER
3801 SANTA ROSA
KINGMAN, AZ 86401-2311
Phone number: 928-263-5000
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Mailing Address
-- DEBRA D FULLER
7802 E CONCHO DR
KINGMAN, AZ 86401-8130
Phone number:
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