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1407977630
MICHAEL FULKS
SPRINGFIELD, MA
NPI
1407977630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MA 57117)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
MICHAEL FULKS M.D.
M352 MASS MUTUAL 1295 STATE STREET
SPRINGFIELD, MA 01111-0001
Phone number: 860-562-1153
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Mailing Address
MICHAEL FULKS M.D.
17580 CLINTON RD
JACKSON, CA 95642-9633
Phone number: 860-562-1153
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