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Organization
FULLER HEALTH & NUTRITION, LLC
Active
Organization
FULLER HEALTH & NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE K FULLER RD (OWNER/REGISTERED DIETITIAN)
(970) 640-8023
Entity
Organization
Contact information
Practice address
2873 FALL CREEK DR, GRAND JUNCTION, CO 81503-3057
(970) 640-8023
Mailing address
2873 FALL CREEK DR, GRAND JUNCTION, CO 81503-3057
(970) 640-8023
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881362663
I AM THE ONLY PROVIDER
CO
Enumeration date
02/07/2023
Last updated
02/07/2023
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