ELLIE FULGHAM

BENTON, KY
NPI1891474896
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  4001423)
Enumeration Date2023-07-17
Last Update Date2023-09-01
Business Address
ELLIE FULGHAM
2607 MAIN ST
BENTON, KY 42025-7601
Phone number: 731-394-1145
Mailing Address
ELLIE FULGHAM
4229 US HIGHWAY 68 W
BENTON, KY 42025-6636
Phone number: 270-205-5885
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