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1366934861
SCOTT LEE FULLER
GREENSBORO, NC
NPI
1366934861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2018-05-31
Last Update Date
2018-06-20
Business Address
SCOTT LEE FULLER
241 SUMMIT AVE STE 100
GREENSBORO, NC 27401-3017
Phone number: 336-965-7369
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Mailing Address
SCOTT LEE FULLER
305 KING ST APT 3A
GREENSBORO, NC 27406-1696
Phone number:
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