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1780138305
STEPHANIE RENEE FULLER
DALLAS, TX
NPI
1780138305
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Former Name
STEPHANIE FULLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP131525)
Enumeration Date
2016-08-11
Last Update Date
2019-08-05
Business Address
Mrs. STEPHANIE RENEE FULLER MS, FNP-C
5556 CANTABRIA DR
DALLAS, TX 75248-6445
Phone number: 214-405-5556
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Mailing Address
Mrs. STEPHANIE RENEE FULLER MS, FNP-C
302 HIGHWAY 3 S
LEAGUE CITY, TX 77573-3755
Phone number: 281-332-6573
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