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1619522182
LAURA RENEE FULTON
BRIDGETON, MO
NPI
1619522182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2019-08-01
Last Update Date
2019-08-01
Business Address
LAURA RENEE FULTON RD, LD
12303 DE PAUL DR
BRIDGETON, MO 63044-2512
Phone number: 314-344-6373
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Mailing Address
LAURA RENEE FULTON RD, LD
5028 S 37TH ST
SAINT LOUIS, MO 63116-4134
Phone number: 314-503-9556
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