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1356485015
FAITH FULLER
SPRINGFIELD, MO
NPI
1356485015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 052926)
Enumeration Date
2007-02-16
Last Update Date
2011-04-19
Business Address
-- FAITH FULLER FNP
2055 S FREMONT AVE SUITE 1000
SPRINGFIELD, MO 65804-2206
Phone number: 417-820-8099
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Mailing Address
-- FAITH FULLER FNP
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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