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1508308610
NANETTE NICOLE FULP
WINSTON SALEM, NC
NPI
1508308610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-06840)
Enumeration Date
2016-11-07
Last Update Date
2022-08-26
Business Address
NANETTE NICOLE FULP PA-C
1995 BETHABARA RD
WINSTON SALEM, NC 27106-3375
Phone number: 336-759-7596
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Mailing Address
NANETTE NICOLE FULP PA-C
PO BOX 751803
CHARLOTTE, NC 28275-1803
Phone number: 336-759-7596
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