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1346323029
DELORES ANN FULLEN
KINGSPORT, TN
NPI
1346323029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
Ms. DELORES ANN FULLEN BA
1570 WAVERLY RD
KINGSPORT, TN 37664
Phone number: 423-224-1300
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Mailing Address
Ms. DELORES ANN FULLEN BA
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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