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1679062632
CHAD FULLER
SAN LUIS OBISPO, CA
NPI
1679062632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A174124)
Enumeration Date
2018-05-05
Last Update Date
2023-11-02
Business Address
Dr. CHAD FULLER MD
1250 PEACH ST STE A
SAN LUIS OBISPO, CA 93401-2871
Phone number: 805-543-4043
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Mailing Address
Dr. CHAD FULLER MD
1250 PEACH ST STE A
SAN LUIS OBISPO, CA 93401-2871
Phone number: 805-543-4043
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