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1922736859
RYAN TUELLER FULLER
SALT LAKE CITY, UT
NPI
1922736859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: UT 12949582-2401)
Enumeration Date
2022-08-09
Last Update Date
2022-08-09
Business Address
RYAN TUELLER FULLER DPT
5151 S 900 E STE 100
SALT LAKE CITY, UT 84117-6658
Phone number: 801-261-3321
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Mailing Address
RYAN TUELLER FULLER DPT
5151 S 900 E STE 100
SALT LAKE CITY, UT 84117-6658
Phone number: 801-261-3321
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