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1295177947
FREIDA FULLER
ATLANTA, GA
NPI
1295177947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 104781)
Enumeration Date
2013-07-23
Last Update Date
2013-07-23
Business Address
-- FREIDA FULLER
3001 MERCER UNIVERSITY DR
ATLANTA, GA 30341-4115
Phone number: 678-547-6742
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Mailing Address
-- FREIDA FULLER
3457 ROSE ARBOR CT
ATLANTA, GA 30340-4038
Phone number: 770-856-2135
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