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1447243589
LAWRENCE P FULLER
KISSIMMEE, FL
NPI
1447243589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: FL opc00797)
Enumeration Date
2005-08-24
Last Update Date
2008-02-26
Business Address
Dr. LAWRENCE P FULLER OD
703 N MAIN ST
KISSIMMEE, FL 34744-5265
Phone number: 407-846-2020
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Mailing Address
Dr. LAWRENCE P FULLER OD
703 N MAIN ST
KISSIMMEE, FL 34744-5265
Phone number: 407-846-2020
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