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1750062824
WILLIAM JOHNSON FULLER
TAMPA, FL
NPI
1750062824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT40202)
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
WILLIAM JOHNSON FULLER
6633 GUNN HWY
TAMPA, FL 33625-4056
Phone number: 813-519-0604
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Mailing Address
WILLIAM JOHNSON FULLER
21756 STATE ROAD 54 STE 102
LUTZ, FL 33549-2905
Phone number:
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