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1528125085
MARK K FULTON
WESTBROOK, ME
NPI
1528125085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ME 015394)
Enumeration Date
2007-01-03
Last Update Date
2012-10-30
Business Address
-- MARK K FULTON MD
123 ANDOVER RD
WESTBROOK, ME 04092-3848
Phone number: 207-761-2200
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Mailing Address
-- MARK K FULTON MD
78 ATLANTIC PL
SOUTH PORTLAND, ME 04106-2316
Phone number: 207-842-7736
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