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1700843646
BRIAN THOMAS FULTON
LE MARS, IA
NPI
1700843646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IA 01720)
Enumeration Date
2006-04-26
Last Update Date
2010-09-03
Business Address
-- BRIAN THOMAS FULTON DO
180 10TH ST SE SUITE 201
LE MARS, IA 51031-2550
Phone number: 712-546-4624
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Mailing Address
-- BRIAN THOMAS FULTON DO
180 10TH ST SE SUITE 201
LE MARS, IA 51031-2550
Phone number: 712-546-4624
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