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1528139730
COLLEEN D. FULLERTON
PROVIDENCE, RI
NPI
1528139730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: RI 37214)
Enumeration Date
2006-11-10
Last Update Date
2007-07-09
Business Address
COLLEEN D. FULLERTON NP
33 STANIFORD ST
PROVIDENCE, RI 02905-3105
Phone number: 401-421-8800
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Mailing Address
COLLEEN D. FULLERTON NP
33 STANIFORD ST
PROVIDENCE, RI 02905-3105
Phone number: 401-421-8800
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