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1295933836
ALICE K FULLER
BALTIMORE, MD
NPI
1295933836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD c0000034)
Enumeration Date
2007-07-05
Last Update Date
2007-07-08
Business Address
-- ALICE K FULLER PA-C
550 N BROADWAY SUITE 810
BALTIMORE, MD 21205-2020
Phone number: 410-955-8923
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Mailing Address
-- ALICE K FULLER PA-C
1216A BALDWIN MILL RD
JARRETTSVILLE, MD 21084-1908
Phone number: 410-955-8923
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