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Individual
MACON FULIAR HENRY
Active
Individual
MACON FULIAR HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
705159
TX
363LA2100X
Acute Care Nurse Practitioner
95014151
CA
363LA2100X
Acute Care Nurse Practitioner
AP144838
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61088966
WA
Other
Enumeration date
04/10/2007
Last updated
02/14/2022
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