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1700921145
TERRI L FULLERTON
GREENVILLE, MI
NPI
1700921145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704140324)
Enumeration Date
2007-02-21
Last Update Date
2021-07-29
Business Address
TERRI L FULLERTON NP
615 S BOWER ST
GREENVILLE, MI 48838-2614
Phone number: 616-225-6830
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Mailing Address
TERRI L FULLERTON NP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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