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1447340724
JACQUELINE FULLAM
YORK, PA
NPI
1447340724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT015090)
Enumeration Date
2006-10-15
Last Update Date
2020-05-06
Business Address
JACQUELINE FULLAM MPT
2300 PLEASANT VALLEY RD
YORK, PA 17402-9627
Phone number: 717-757-3537
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Mailing Address
JACQUELINE FULLAM MPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 866-370-8206
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