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1477020303
MARIA TERESA CERVANTES-FULLMER
IDAHO FALLS, ID
NPI
1477020303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: ID 46717)
Enumeration Date
2018-10-29
Last Update Date
2020-01-30
Business Address
Mrs. MARIA TERESA CERVANTES-FULLMER FNP
3245 CHANNING WAY
IDAHO FALLS, ID 83404-7536
Phone number: 208-227-2790
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Mailing Address
Mrs. MARIA TERESA CERVANTES-FULLMER FNP
PO BOX 741716
ATLANTA, GA 30374-1716
Phone number:
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