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1376909333
STACY FULLER
MERRILLVILLE, IN
NPI
1376909333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IN 08002869A)
Enumeration Date
2016-01-06
Last Update Date
2019-04-11
Business Address
STACY FULLER DC
300 W 80TH PL STE A
MERRILLVILLE, IN 46410
Phone number: 219-588-3476
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Mailing Address
STACY FULLER DC
2406 NOTTINGHAM DR
VALPARAISO, IN 46383-9181
Phone number: 219-588-3476
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