MICHAEL KEL FULLER

LAWRENCEVILLE, GA
NPI1366782005
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: GA  RN210405)
Enumeration Date2013-02-17
Last Update Date2013-02-17
Business Address
Mr. MICHAEL KEL FULLER RN
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
Mailing Address
Mr. MICHAEL KEL FULLER RN
7642 LEGACY RD
FLOWERY BRANCH, GA 30542-7587
Phone number: 678-656-3075
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