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Individual
REBECCA BALDWIN FULLER
Active
Individual
REBECCA BALDWIN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024168084
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
120365
WV
363LA2200X
Adult Health Nurse Practitioner
304631
NY
Other
Enumeration date
06/12/2007
Last updated
10/23/2024
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