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1407183239
MARY R FULLER
FORT GORDON, GA
NPI
1407183239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS 558)
Enumeration Date
2009-11-16
Last Update Date
2015-07-24
Business Address
-- MARY R FULLER PT
300 W HOSPITAL RD SINTERDISCIPLINARY PAIN MANAGEMENT CENTER
FORT GORDON, GA 30905-5741
Phone number: 706-787-1473
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Mailing Address
-- MARY R FULLER PT
300 W HOSPITAL RD SINTERDISCIPLINARY PAIN MANAGEMENT CENTER
FORT GORDON, GA 30905-5741
Phone number: 706-787-1473
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