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Individual
BRIAN FULLGRAF
Active
Individual
BRIAN FULLGRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
78707
NV
172V00000X
Community Health Worker
CHW1-5089
NV
175T00000X
Peer Specialist
PRSS-INT-5020
NV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/25/2020
Last updated
08/27/2024
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