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1578748125
DEBORAH L FULLER
PROVIDENCE, RI
NPI
1578748125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: RI DEN02817)
Enumeration Date
2008-01-02
Last Update Date
2008-01-02
Business Address
-- DEBORAH L FULLER DMD
21 PEACE ST
PROVIDENCE, RI 02907-1510
Phone number: 401-456-3000
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Mailing Address
-- DEBORAH L FULLER DMD
200 HIGH SERVICE AVE 4TH FL MARION HALL
N PROVIDENCE, RI 02904-5113
Phone number: 401-456-3309
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