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1275859720
DALE DEBRA FULLER
EAST STROUDSBURG, PA
NPI
1275859720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: PA MSG003284)
Enumeration Date
2010-04-08
Last Update Date
2014-06-24
Business Address
-- DALE DEBRA FULLER NLMT
2161 SARAH CT
EAST STROUDSBURG, PA 18301
Phone number: 570-406-1975
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Mailing Address
-- DALE DEBRA FULLER NLMT
2161 SARAH CT
EAST STROUDSBURG, PA 18301-7933
Phone number: 570-406-1975
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