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1730125527
KEITH LYLE FULLER
OPELIKA, AL
NPI
1730125527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL DO350)
Enumeration Date
2006-06-21
Last Update Date
2023-03-07
Business Address
DR. KEITH LYLE FULLER D.O.
2214 GATEWAY DR SUITE C
OPELIKA, AL 36801-1500
Phone number: 334-741-0075
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Mailing Address
DR. KEITH LYLE FULLER D.O.
2214 GATEWAY DR SUITE C
OPELIKA, AL 36801-1500
Phone number: 334-741-0075
Copy
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