SHELLY ROBYN FULTZ

ROSEBURG, OR
NPI1194966762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  200330356LPN)
Enumeration Date2009-03-11
Last Update Date2009-03-11
Business Address
-- SHELLY ROBYN FULTZ LPN
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471-6523
Phone number: 541-440-1260
Mailing Address
-- SHELLY ROBYN FULTZ LPN
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471-6523
Phone number:
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