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1790958858
TERAN RENEE FULFORD
PRATTVILLE, AL
NPI
1790958858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AL 1546)
Enumeration Date
2008-04-10
Last Update Date
2008-04-10
Business Address
-- TERAN RENEE FULFORD Speech Therapist
298 JAY ST
PRATTVILLE, AL 36066-6062
Phone number: 334-361-6008
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Mailing Address
-- TERAN RENEE FULFORD Speech Therapist
1937 TARA DR
PRATTVILLE, AL 36066-7526
Phone number: 334-491-0148
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