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Individual
MRS. MARY-FAITH FULLER
Active
Individual
MRS. MARY-FAITH FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
7737232-4405
UT
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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