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Individual

NATHANIEL D FULTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NMD

Contact information

Practice address
4177 W MAGGIE DR, SAN TAN VALLEY, AZ 85144-3740
(815) 558-8200
Mailing address
4177 W MAGGIE DR, SAN TAN VALLEY, AZ 85144-3740
(815) 558-8200

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
23-1805
AZ

Other

Enumeration date
01/13/2025
Last updated
01/13/2025
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