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1821631870
CHARISSA FULLER
TEMPLE, TX
NPI
1821631870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP143694)
Enumeration Date
2019-10-22
Last Update Date
2022-02-15
Business Address
CHARISSA FULLER APRN, FNP-C
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
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Mailing Address
CHARISSA FULLER APRN, FNP-C
1605 SOUTH 31ST ST
TEMPLE, TX 76508-0001
Phone number: 903-261-2221
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