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1952421059
KOLLEEN MARIAN FULLER
SYRACUSE, NY
NPI
1952421059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NY 300761-1)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
Ms. KOLLEEN MARIAN FULLER RNNP
736 IRVING AVE
SYRACUSE, NY 13210-1687
Phone number: 315-470-7111
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Mailing Address
Ms. KOLLEEN MARIAN FULLER RNNP
57 FENNELL ST
SKANEATELES, NY 13152-1119
Phone number: 315-685-0023
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