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1659655017
ELISA J. FULLER
SCOTTSDALE, AZ
NPI
1659655017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: AZ 25928)
Enumeration Date
2011-10-04
Last Update Date
2011-10-04
Business Address
Dr. ELISA J. FULLER M.D.
8035 N 85TH WAY
SCOTTSDALE, AZ 85258-4321
Phone number: 480-304-9234
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Mailing Address
Dr. ELISA J. FULLER M.D.
8035 N 85TH WAY
SCOTTSDALE, AZ 85258-4321
Phone number: 480-304-9234
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