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1639399066
TOMEKA BONSHELL FULLER
DECATUR, GA
NPI
1639399066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN068949)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
TOMEKA BONSHELL FULLER LPN
440 WINN WAY
DECATUR, GA 30030-1715
Phone number: 404-294-3762
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Mailing Address
TOMEKA BONSHELL FULLER LPN
440 WINN WAY
DECATUR, GA 30030
Phone number: 404-294-3762
Copy
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