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1215325881
KELLY FULKS
WATERFORD, MI
NPI
1215325881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501016644)
Enumeration Date
2015-01-05
Last Update Date
2015-01-05
Business Address
-- KELLY FULKS
5210 HIGHLAND RD SUITE 100
WATERFORD, MI 48327-1970
Phone number: 248-674-9560
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Mailing Address
-- KELLY FULKS
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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