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1598890444
LYNNETTE SUE FULLER
SALT LAKE CITY, UT
NPI
1598890444
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 4553606-1206)
Enumeration Date
2007-02-22
Last Update Date
2021-12-17
Business Address
Mrs. LYNNETTE SUE FULLER PA-C
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1125
Phone number: 801-213-3599
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Mailing Address
Mrs. LYNNETTE SUE FULLER PA-C
295 CHIPETA WAY
SALT LAKE CITY, UT 84108-1220
Phone number: 801-213-3599
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