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1275274755
CARSON FULLER
SPOKANE, WA
NPI
1275274755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-06
Last Update Date
2022-04-06
Business Address
CARSON FULLER MD
1275 W COLLEGE AVE APT 309
SPOKANE, WA 99201-2052
Phone number: 509-385-9863
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Mailing Address
CARSON FULLER MD
1275 W COLLEGE AVE APT 309
SPOKANE, WA 99201-2052
Phone number:
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