LETA R FULLER

COLUMBUS, OH
NPI1982696159
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: OH  35073246)
Enumeration Date2005-08-16
Last Update Date2007-07-08
Business Address
-- LETA R FULLER MD
555 S 18TH ST
COLUMBUS, OH 43205-2654
Phone number: 614-722-4554
Mailing Address
-- LETA R FULLER MD
555 S 18TH ST
COLUMBUS, OH 43205-2654
Phone number: 614-722-4554
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