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1679290522
SU-YONG FULLMER
AUBURN, WA
NPI
1679290522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP61178626)
Enumeration Date
2022-10-21
Last Update Date
2023-02-19
Business Address
Mrs. SU-YONG FULLMER
200 AUBURN AVE
AUBURN, WA 98002-5015
Phone number: 800-440-3305
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Mailing Address
Mrs. SU-YONG FULLMER
922 66TH AVE E
FIFE, WA 98424-1445
Phone number: 253-831-4910
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