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1851321301
EDWARD K FULLER
LAS VEGAS, NV
NPI
1851321301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NV 848145)
Enumeration Date
2006-07-03
Last Update Date
2023-10-20
Business Address
EDWARD K FULLER CRNA
7160 RAFAEL RIVERA WAY STE 210
LAS VEGAS, NV 89113-5395
Phone number: 702-878-0070
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Mailing Address
EDWARD K FULLER CRNA
PO BOX 840857
DALLAS, TX 75284-0857
Phone number: 725-204-4632
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