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1467861658
MICHAEL FULKS
LAS VEGAS, NV
NPI
1467861658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NV 0506322)
Enumeration Date
2014-08-13
Last Update Date
2014-08-13
Business Address
-- MICHAEL FULKS LAT, ATC
6510 HINSON ST
LAS VEGAS, NV 89118-4413
Phone number: 702-499-7237
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Mailing Address
-- MICHAEL FULKS LAT, ATC
7340 RED CINDER ST
LAS VEGAS, NV 89131-3320
Phone number: 702-499-7237
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