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1972562601
BRIAN GEORGE FULLER
DURHAM, NC
NPI
1972562601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 5564)
Enumeration Date
2006-03-21
Last Update Date
2011-02-23
Business Address
Mr. BRIAN GEORGE FULLER PT
15 PORTERS GLEN PL
DURHAM, NC 27713-9164
Phone number: 919-452-8264
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Mailing Address
Mr. BRIAN GEORGE FULLER PT
15 PORTERS GLEN PL
DURHAM, NC 27713-9164
Phone number: 919-452-8264
Copy
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