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1568684470
MARK CRANDALL FULLMER
SPRINGVILLE, UT
NPI
1568684470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 143367-9921)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Dr. MARK CRANDALL FULLMER DDS
225 EAST 400 SOUTH
SPRINGVILLE, UT 84663
Phone number: 801-489-3611
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Mailing Address
Dr. MARK CRANDALL FULLMER DDS
225 EAST 400 SOUTH
SPRINGVILLE, UT 84663
Phone number: 801-489-3611
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