KEVIN POWELL FULLER

HARRISBURG, PA
NPI1962737940
Professional NameKEVIN FULLER
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: PA  271077801)
Enumeration Date2009-10-09
Last Update Date2009-10-09
Business Address
Mr. KEVIN POWELL FULLER
1839 ZARKER ST
HARRISBURG, PA 17104-1351
Phone number: 717-379-2546
Mailing Address
Mr. KEVIN POWELL FULLER
1839 ZARKER ST
HARRISBURG, PA 17104-1351
Phone number: 717-379-2546
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