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1265927057
LISA ANN FULLER
KNOXVILLE, TN
NPI
1265927057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 24330)
Enumeration Date
2018-06-25
Last Update Date
2018-06-25
Business Address
Mrs. LISA ANN FULLER FNP-BC
8033 RAY MEARS BLVD
KNOXVILLE, TN 37919-5458
Phone number: 865-545-4592
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Mailing Address
Mrs. LISA ANN FULLER FNP-BC
8033 RAY MEARS BLVD
KNOXVILLE, TN 37919-5458
Phone number: 865-670-2371
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