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1962147348
MARINA FULLER
FORT LAUDERDALE, FL
NPI
1962147348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11018956)
Enumeration Date
2022-05-01
Last Update Date
2022-05-01
Business Address
MARINA FULLER
1328 SE 17TH ST
FORT LAUDERDALE, FL 33316-1708
Phone number: 954-200-6001
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Mailing Address
MARINA FULLER
19830 W DIXIE HWY APT 5207
MIAMI, FL 33180-2256
Phone number: 407-800-5942
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