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1689339343
LAUREN NICOLE FULLER
COLUMBIA, MO
NPI
1689339343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery
(Licence: MO Pending)
Enumeration Date
2021-11-07
Last Update Date
2021-11-07
Business Address
LAUREN NICOLE FULLER
1 S KEENE ST
COLUMBIA, MO 65201-7199
Phone number: 573-443-2402
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Mailing Address
LAUREN NICOLE FULLER
4005 SOUTHERN PINE CT
COLUMBIA, MO 65203-6648
Phone number:
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