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1447301395
JOSHUA R FULLMER
REXBURG, ID
NPI
1447301395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: ID M-9786)
Enumeration Date
2007-01-16
Last Update Date
2021-01-26
Business Address
JOSHUA R FULLMER M.D.
23 SAWTELLE AVE STE 102
REXBURG, ID 83440-1499
Phone number: 208-359-1888
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Mailing Address
JOSHUA R FULLMER M.D.
2100 PROVIDENCE WAY
IDAHO FALLS, ID 83404-4951
Phone number: 208-529-6600
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