LARRY D FULLMER

SANDY, UT
NPI1821075912
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  114098-2401)
Enumeration Date2005-12-29
Last Update Date2014-02-14
Business Address
LARRY D FULLMER
9720 S 1300 E #W200
SANDY, UT 84094-3712
Phone number: 801-572-0690
Mailing Address
LARRY D FULLMER
9720 S 1300 E #W200
SANDY, UT 84094-3712
Phone number: 801-572-0690
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