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1255431037
JOHN REYNOLDS FULLERTON
LEBANON, PA
NPI
1255431037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: PA PS001071L)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
Dr. JOHN REYNOLDS FULLERTON D.Ed.
VA MEDICAL CENTER (620) 1700 LINCOLN AVENUE
LEBANON, PA 17042-0000
Phone number: 717-272-6621
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Mailing Address
Dr. JOHN REYNOLDS FULLERTON D.Ed.
102 TIMBER VILLA
ELIZABETHTOWN, PA 17022-9223
Phone number: 717-367-1005
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