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1881347078
SHERIDAN ELIZABETH ADAIR FULLER
LUFKIN, TX
NPI
1881347078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 1058083)
Enumeration Date
2022-01-28
Last Update Date
2022-05-26
Business Address
SHERIDAN ELIZABETH ADAIR FULLER FNP
1222 ELLIS AVE
LUFKIN, TX 75904-3326
Phone number: 936-634-2214
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Mailing Address
SHERIDAN ELIZABETH ADAIR FULLER FNP
PO BOX 150638
LUFKIN, TX 75915-0638
Phone number: 936-634-2214
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