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1821696196
LACREASHA FULLARD
NOTTINGHAM, MD
NPI
1821696196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD R219476)
Enumeration Date
2020-10-09
Last Update Date
2023-08-08
Business Address
Mrs. LACREASHA FULLARD CRNP-PMH
9649 BELAIR RD STE 104
NOTTINGHAM, MD 21236-1117
Phone number: 410-529-1309
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Mailing Address
Mrs. LACREASHA FULLARD CRNP-PMH
9649 BELAIR RD STE 104
NOTTINGHAM, MD 21236-1117
Phone number: 410-529-1309
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