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Individual

SARAH FULLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3555 S VAL VISTA DR, GILBERT, AZ 85297-7323
(480) 861-8605
Mailing address
1909 E RAY RD, STE 9-191, CHANDLER, AZ 85225-8724
(480) 861-8605

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN146289
AZ

Other

Enumeration date
08/18/2015
Last updated
03/24/2016
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