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1295863587
DONALD JENKINS FULLER
BALTIMORE, MD
NPI
1295863587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MD C0000378)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
Mr. DONALD JENKINS FULLER PA-C
401 N BROADWAY RM 1360 WEINBERG BLDG.
BALTIMORE, MD 21231-1146
Phone number: 410-955-8742
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Mailing Address
Mr. DONALD JENKINS FULLER PA-C
1216A BALDWIN MILL RD
JARRETTSVILLE, MD 21084-1908
Phone number: 410-557-8389
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