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1669090783
SUSAN RUTKOWSKI FULLER
CLAYTON, NC
NPI
1669090783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5013256)
Enumeration Date
2020-07-07
Last Update Date
2020-08-03
Business Address
SUSAN RUTKOWSKI FULLER Nurse Practitioner
11911 US 70 HWY W
CLAYTON, NC 27520-2144
Phone number: 866-389-2727
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Mailing Address
SUSAN RUTKOWSKI FULLER Nurse Practitioner
11911 US 70 HWY W
CLAYTON, NC 27520-2144
Phone number: 919-877-6456
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