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1487335105
SANDRA FULLER
HUNTINGTON PARK, CA
NPI
1487335105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP95025672)
Enumeration Date
2023-07-26
Last Update Date
2023-08-10
Business Address
SANDRA FULLER NP
3203 E FLORENCE AVE
HUNTINGTON PARK, CA 90255-5831
Phone number: 213-458-0649
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Mailing Address
SANDRA FULLER NP
1223 W 61ST ST
LOS ANGELES, CA 90044-2711
Phone number: 213-458-0649
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