Individual
SEAN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
699 GARNETTE RD, AKRON, OH 44313-5759
(330) 873-9338
Mailing address
699 GARNETTE RD, AKRON, OH 44313-5759
(330) 873-9338
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RJ739683
OH
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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