CARLY FULLERTON

FARMVILLE, VA
NPI1235547894
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126001340)
Enumeration Date2014-07-28
Last Update Date2018-04-13
Business Address
CARLY FULLERTON MSS ATC
201 HIGH ST
FARMVILLE, VA 23909-1800
Phone number: 434-395-2965
Mailing Address
CARLY FULLERTON MSS ATC
713 MONROE ST
FARMVILLE, VA 23901-3137
Phone number: 703-407-8076
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