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1194335224
TERESA LORRAINE FULLER
SANFORD, NC
NPI
1194335224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult
(Licence: NC 223347)
Enumeration Date
2020-08-04
Last Update Date
2020-08-04
Business Address
TERESA LORRAINE FULLER
130 CARBONTON RD
SANFORD, NC 27330-4009
Phone number: 919-774-6521
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Mailing Address
TERESA LORRAINE FULLER
284 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025-1833
Phone number: 704-939-1100
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