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1861460115
CAROL MARIE FULTON
JACKSONVILLE, FL
NPI
1861460115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL ARNP1392722)
Enumeration Date
2006-03-12
Last Update Date
2009-12-16
Business Address
Ms. CAROL MARIE FULTON ARNP
655 W 8TH ST UFJP PEDIATRICS RAINBOW CENTER
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-5248
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Mailing Address
Ms. CAROL MARIE FULTON ARNP
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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