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1356604573
GRACE FULTANG
FRISCO, TX
NPI
1356604573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1052614)
Enumeration Date
2012-06-21
Last Update Date
2023-03-13
Business Address
Dr. GRACE FULTANG DNP, PMHNP-BC
10054 WESTERN HILLS DR
FRISCO, TX 75033-8399
Phone number: 443-759-1746
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Mailing Address
Dr. GRACE FULTANG DNP, PMHNP-BC
10054 WESTERN HILLS DR
FRISCO, TX 75033-8399
Phone number: 443-759-1746
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