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Individual
DR. JOHN DAVID FULKERSON
Active
Individual
DR. JOHN DAVID FULKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9985
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8U0840
PERSONAL BCBS
TX
Enumeration date
10/17/2005
Last updated
10/18/2007
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