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1609908490
DAPHNE D FULLERTON
ENNIS, TX
NPI
1609908490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX L8244)
Enumeration Date
2007-03-09
Last Update Date
2007-07-08
Business Address
-- DAPHNE D FULLERTON MD
803 W LAMPASAS ST
ENNIS, TX 75119-4535
Phone number: 800-893-9698
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Mailing Address
-- DAPHNE D FULLERTON MD
200 CORPORATE BLVD SUITE 201
LAFAYETTE, LA 70508-3870
Phone number:
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