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1417560194
VANESSA RENEE FULLER
UKIAH, CA
NPI
1417560194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95015225)
Enumeration Date
2020-08-24
Last Update Date
2022-07-19
Business Address
VANESSA RENEE FULLER Nurse Practitioner
275 HOSPITAL DR
UKIAH, CA 95482-4531
Phone number: 707-462-7900
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Mailing Address
VANESSA RENEE FULLER Nurse Practitioner
242 HOSPITAL DR STE B
UKIAH, CA 95482-4556
Phone number: 707-462-7900
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