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Individual

BARBARA NIXON FULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COMS

Contact information

Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1414
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1414

Taxonomy

Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary
4175
ID

Other

Enumeration date
02/11/2025
Last updated
02/11/2025
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