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Organization
FULLER CHIROPRACTIC INC
Active
Organization
FULLER CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANDA FULLER D.C. (PRESIDENT/OWNER)
(925) 837-5595
Entity
Organization
Contact information
Practice address
205 SYCAMORE VALLEY RD W, DANVILLE, CA 94526-3947
(925) 837-5595
(925) 837-6558
Mailing address
205 SYCAMORE VALLEY RD W, DANVILLE, CA 94526-3947
(925) 837-5595
(925) 837-6558
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC27288
CA
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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