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1316603152
CRYSTAL BROOKE FULLER
COLUMBUS, GA
NPI
1316603152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA F11210506)
Enumeration Date
2021-11-16
Last Update Date
2021-11-16
Business Address
CRYSTAL BROOKE FULLER FNP-C
2101 NORTH AVE
COLUMBUS, GA 31904-8806
Phone number: 706-221-8799
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Mailing Address
CRYSTAL BROOKE FULLER FNP-C
2101 NORTH AVE
COLUMBUS, GA 31904-8806
Phone number:
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