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Individual
ADRIA FULLER
Active
Individual
ADRIA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDM, CPM, LM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
05/25/2013
Last updated
12/09/2014
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