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Individual
MELISSA LYNN FULLER
Active
Individual
MELISSA LYNN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
100378
MT
Other
Enumeration date
07/23/2009
Last updated
07/24/2024
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