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1720015977
KEITH A FULLER
CLEVELAND, OH
NPI
1720015977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OH 35057294F)
Enumeration Date
2006-06-26
Last Update Date
2008-05-19
Business Address
-- KEITH A FULLER MD
9500 EUCLID AVE
CLEVELAND, OH 44195-0001
Phone number: 800-223-2273
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Mailing Address
-- KEITH A FULLER MD
6000 W CREEK RD STE 10
INDEPENDENCE, OH 44131-2139
Phone number: 800-223-2273
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