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1730761388
CODY FULLER
GREENVILLE, SC
NPI
1730761388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2021-04-23
Last Update Date
2021-04-23
Business Address
CODY FULLER CPO
6 OLD GROVE RD
GREENVILLE, SC 29605-4769
Phone number: 864-552-9772
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Mailing Address
CODY FULLER CPO
703 N FANT ST STE A
ANDERSON, SC 29621-5705
Phone number: 864-622-0900
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