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1821099110
SHANNON DEE FULLERTON
WEYMOUTH, MA
NPI
1821099110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MA 205500)
Enumeration Date
2005-08-09
Last Update Date
2014-01-08
Business Address
-- SHANNON DEE FULLERTON MD
51 PERFORMANCE DR ENTRY 2
WEYMOUTH, MA 02189-3141
Phone number: 781-682-8000
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Mailing Address
-- SHANNON DEE FULLERTON MD
141 LONGWATER DR
NORWELL, MA 02061-1632
Phone number: 781-878-5200
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