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Individual
NIAH YVETTE FULFORD
Active
Individual
NIAH YVETTE FULFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
050120183A
IN
225100000X
Physical Therapist
2305204685
VA
225100000X
Physical Therapist
Primary
PT015191
GA
Other
Enumeration date
03/16/2007
Last updated
06/14/2021
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