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1235167545
ANGELA B FULLER
WATERLOO, IA
NPI
1235167545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IA 000643)
Enumeration Date
2006-06-28
Last Update Date
2007-07-13
Business Address
-- ANGELA B FULLER RN, PA-C
2710 SAINT FRANCIS DR SUITE 210
WATERLOO, IA 50702-5619
Phone number: 319-272-5000
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Mailing Address
-- ANGELA B FULLER RN, PA-C
2101 KIMBALL AVE LL14
WATERLOO, IA 50702-5063
Phone number: 319-272-1590
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