Individual
SUZANNE LYNN MARCON-FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 E BLODGETT ST, MARSHFIELD, WI 54449-2205
(715) 207-0241
Mailing address
104A S VINE AVE, MARSHFIELD, WI 54449-3745
(715) 651-1446
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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