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Individual

COURTNEY R FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
675 PARAMOUNT DR STE 205, RAYNHAM, MA 02767-5416
(617) 798-6500
(617) 798-6500
Mailing address
675 PARAMOUNT DR STE 205, RAYNHAM, MA 02767-5416
(508) 996-3991

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6288
MA

Other

Enumeration date
10/31/2017
Last updated
03/21/2025
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