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1679568794
DONALD RAY FULSOM
TYLER, TX
NPI
1679568794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0802X Psychiatry & Neurology, Addiction Psychiatry
(Licence: TX l6047)
Enumeration Date
2005-09-14
Last Update Date
2008-06-18
Business Address
Dr. DONALD RAY FULSOM M.D.
401 E FRONT ST
TYLER, TX 75702-8213
Phone number: 903-593-6550
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Mailing Address
Dr. DONALD RAY FULSOM M.D.
401 E FRONT ST
TYLER, TX 75702-8213
Phone number: 903-593-6550
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