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Organization

SHELIA A. FULLER, O.D., L.L.C

Active
Other names
Shelia Fuller OD
Organization subpart
No

Provider details

NPI number
Authorized official
SHELIA FULLER (PRESIDENT)
(419) 525-2060
Entity
Organization

Contact information

Practice address
339 N LEXINGTON SPRINGMILL RD, ONTARIO, OH 44906-1218
(419) 525-2060
(419) 529-9060
Mailing address
339 N LEXINGTON SPRINGMILL RD, ONTARIO, OH 44906-1218
(419) 525-2060
(419) 529-9060

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901-T1771
OH

Other

Enumeration date
04/30/2012
Last updated
07/11/2012
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