Individual
MRS. BARBARA JEANNE FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
458 FORWARD PASS RD SW, PATASKALA, OH 43062-7429
(614) 562-3188
Mailing address
458 FORWARD PASS RD SW, PATASKALA, OH 43062-7429
(614) 562-3188
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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