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1891157129
COLLIN GUTHRIE FULLER
PHILADELPHIA, PA
NPI
1891157129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: PA MD471086)
Enumeration Date
2016-03-25
Last Update Date
2022-07-21
Business Address
Dr. COLLIN GUTHRIE FULLER M.D.
833 CHESTNUT ST STE 740
PHILADELPHIA, PA 19107-4409
Phone number: 215-955-6680
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Mailing Address
Dr. COLLIN GUTHRIE FULLER M.D.
2310 E ALLEGHENY AVE
PHILADELPHIA, PA 19134-4401
Phone number: 215-427-1111
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