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1851916142
LAKESHIA RENA FULLER
DALLAS, TX
NPI
1851916142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 940543)
Enumeration Date
2020-06-11
Last Update Date
2020-06-11
Business Address
LAKESHIA RENA FULLER RN
14214 WRANGLER WAY
DALLAS, TX 75253-4954
Phone number: 469-632-2872
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Mailing Address
LAKESHIA RENA FULLER RN
14214 WRANGLER WAY
DALLAS, TX 75253-4954
Phone number: 469-632-2872
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