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1790829067
ROBERT IRWIN FULFORD
CLEVELAND, TN
NPI
1790829067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 11833)
Enumeration Date
2007-02-19
Last Update Date
2007-07-08
Business Address
MR. ROBERT IRWIN FULFORD R.PH.
2300 TREASURY DR SE
CLEVELAND, TN 37323-7185
Phone number: 423-472-0656
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Mailing Address
MR. ROBERT IRWIN FULFORD R.PH.
440 HICKS BRANCH RD
RELIANCE, TN 37369-4421
Phone number: 423-338-4349
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