TINA FULLER

CAPE GIRARDEAU, MO
NPI1659879096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  2006025670)
Enumeration Date2018-01-31
Last Update Date2018-01-31
Business Address
TINA FULLER LPN
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703-5703
Phone number: 573-332-0416
Mailing Address
TINA FULLER LPN
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703-5703
Phone number: 573-332-0416
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