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Individual
KYLIE JEANNINE FULLNER
Active
Individual
KYLIE JEANNINE FULLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1103936
KS
225100000X
Physical Therapist
1186306
TX
225100000X
Physical Therapist
2736
NE
225100000X
Physical Therapist
Primary
PT009346
GA
Other
Enumeration date
07/08/2008
Last updated
08/18/2009
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