TOMEKA BONSHELL FULLER

DECATUR, GA
NPI1639399066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  lpn068949)
Enumeration Date2007-04-26
Last Update Date2007-07-08
Business Address
-- TOMEKA BONSHELL FULLER LPN
440 WINN WAY
DECATUR, GA 30030-1715
Phone number: 404-294-3762
Mailing Address
-- TOMEKA BONSHELL FULLER LPN
440 WINN WAY
DECATUR, GA 30030
Phone number: 404-294-3762
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