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1336217702
MICHAEL W. FULLER
PLANO, TX
NPI
1336217702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: TX PA02147)
Enumeration Date
2006-12-01
Last Update Date
2009-09-16
Business Address
Mr. MICHAEL W. FULLER PA-C
7000 W PLANO PKWY SUITE 200
PLANO, TX 75093-8466
Phone number: 214-483-9300
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Mailing Address
Mr. MICHAEL W. FULLER PA-C
7000 W PLANO PKWY SUITE 200
PLANO, TX 75093-8466
Phone number: 214-483-9300
Copy
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