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1609600600
SAMUEL AARON FULLMER
BROOKLYN, NY
NPI
1609600600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 355097)
Enumeration Date
2024-08-30
Last Update Date
2024-08-30
Business Address
SAMUEL AARON FULLMER
40 FLATBUSH AVENUE EXT
BROOKLYN, NY 11201-2903
Phone number: 718-215-1818
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Mailing Address
SAMUEL AARON FULLMER
40 FLATBUSH AVENUE EXT
BROOKLYN, NY 11201-2903
Phone number: 718-214-1818
Copy
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