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1497176911
MARY-FAITH FULLER
DRAPER, UT
NPI
1497176911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: UT 7737232-4405)
Enumeration Date
2013-12-31
Last Update Date
2013-12-31
Business Address
Mrs. MARY-FAITH FULLER CPNP
12176 S 1000 E STE G
DRAPER, UT 84020-9734
Phone number: 801-523-3030
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Mailing Address
Mrs. MARY-FAITH FULLER CPNP
12176 S 1000 E STE G
DRAPER, UT 84020-9734
Phone number: 801-523-3030
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