GENA FULLER

BRIDGEPORT, CT
NPI1619577103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT  1026)
Enumeration Date2020-10-26
Last Update Date2023-11-27
Business Address
GENA FULLER ATC/L
4675 MAIN ST
BRIDGEPORT, CT 06606-1813
Phone number: 203-373-0551
Mailing Address
GENA FULLER ATC/L
35 VOIGHT AVE
BRIDGEPORT, CT 06606-1537
Phone number: 203-814-8108
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