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Individual
MS. MICHELL A FULLMER
Active
Individual
MS. MICHELL A FULLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN0000227
DE
133VN1004X
Pediatric Nutrition Registered Dietitian
DN0000227
DE
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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