LAURA MARIE FULLERTON

PEORIA, IL
NPI1356406144
Former NameLAURA GREEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209-001938)
Enumeration Date2006-12-22
Last Update Date2018-07-25
Business Address
Ms. LAURA MARIE FULLERTON APN
2321 N WISCONSIN AVE
PEORIA, IL 61603
Phone number: 309-680-7600
Mailing Address
Ms. LAURA MARIE FULLERTON APN
2214 N UNIVERSITY ST
PEORIA, IL 61604-3221
Phone number: 309-680-7600
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