AUSTIN FULLENKAMP

CHARLESTON, SC
NPI1871121947
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-01
Last Update Date2023-03-30
Business Address
AUSTIN FULLENKAMP
96 JONATHAN LUCAS ST STE 210
CHARLESTON, SC 29425-5701
Phone number: 949-874-1825
Mailing Address
AUSTIN FULLENKAMP
5121 S COTTONWOOD ST
MURRAY, UT 84107-5701
Phone number: 949-874-1825
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