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1548214380
CLINTON J FULLER
LITTLE ROCK, AR
NPI
1548214380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: AR C-5055)
Enumeration Date
2006-05-19
Last Update Date
2010-01-19
Business Address
Dr. CLINTON J FULLER M.D.
9601 LILE DR SUITE 1100
LITTLE ROCK, AR 72205-6321
Phone number: 501-227-5256
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Mailing Address
Dr. CLINTON J FULLER M.D.
9601 LILE DR SUITE 1100
LITTLE ROCK, AR 72205-6321
Phone number: 501-227-5256
Copy
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