JO FULLER

ARDMORE, OK
NPI1427472083
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  75953)
Enumeration Date2014-02-18
Last Update Date2014-02-18
Business Address
-- JO FULLER APRN-CNP
970 NORTHWEST BLVD
ARDMORE, OK 73401-1534
Phone number: 580-221-7500
Mailing Address
-- JO FULLER APRN-CNP
PO BOX 216
ARDMORE, OK 73402-0216
Phone number: 580-221-7500
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