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1780184523
SUSAN FULLERTON
MARTINSVILLE, VA
NPI
1780184523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 220203920)
Enumeration Date
2018-02-19
Last Update Date
2018-02-19
Business Address
SUSAN FULLERTON Speech Language Path
288 LANCER LANE
MARTINSVILLE, VA 24112
Phone number: 276-638-1022
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Mailing Address
SUSAN FULLERTON Speech Language Path
161 HOLLY ST
EDEN, NC 27288-7678
Phone number: 276-638-1022
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