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1770045197
TRENTON C. FULLER
SALT LAKE CITY, UT
NPI
1770045197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 11899054-1205)
Enumeration Date
2019-04-03
Last Update Date
2022-06-01
Business Address
TRENTON C. FULLER MD
30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-7606
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Mailing Address
TRENTON C. FULLER MD
30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-7606
Copy
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