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1689761041
WAYNE B FULLER
CULLMAN, AL
NPI
1689761041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: AL S320TA285)
Enumeration Date
2006-10-06
Last Update Date
2007-07-08
Business Address
Dr. WAYNE B FULLER O.D.
210 2ND AVE SE
CULLMAN, AL 35055-3514
Phone number: 256-734-1121
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Mailing Address
Dr. WAYNE B FULLER O.D.
210 2ND AVE SE P. O. BOX 1067
CULLMAN, AL 35055-3514
Phone number: 256-734-1121
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