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1528058385
ANDREA J FULLER
DEMOREST, GA
NPI
1528058385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 098416)
Enumeration Date
2005-10-24
Last Update Date
2007-07-08
Business Address
-- ANDREA J FULLER RN,FNP
590 HISTORIC OLD HWY 441
DEMOREST, GA 30535
Phone number: 706-754-5511
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Mailing Address
-- ANDREA J FULLER RN,FNP
590 HISTORIC HWY 441 N.
DEMOREST, GA 30535
Phone number: 706-754-5511
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