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1730715442
LASHUN FULLER
LONG BEACH, CA
NPI
1730715442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95014149)
Enumeration Date
2020-03-14
Last Update Date
2020-03-14
Business Address
LASHUN FULLER NURSE PRACTITIONER
5901 E 7TH ST
LONG BEACH, CA 90822-5201
Phone number: 562-673-4846
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Mailing Address
LASHUN FULLER NURSE PRACTITIONER
4503 GOLDFIELD AVE
LONG BEACH, CA 90807-1828
Phone number: 562-673-4846
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