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1558811711
ANDREA NICOLE FULLER
DALLAS, TX
NPI
1558811711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA10919)
Enumeration Date
2016-10-11
Last Update Date
2021-07-27
Business Address
MS. ANDREA NICOLE FULLER PA-C
1411 MAIN ST
DALLAS, TX 75202-4052
Phone number: 214-749-4657
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Mailing Address
MS. ANDREA NICOLE FULLER PA-C
1985 CENTRAL EXPY N # 120
ALLEN, TX 75013-5753
Phone number: 972-962-9100
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