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1235247131
KATHERINE H FULLER
PROVO, UT
NPI
1235247131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: UT 1864853102)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
-- KATHERINE H FULLER RN
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
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Mailing Address
-- KATHERINE H FULLER RN
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
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