Individual
MRS. JULIE POPE FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.D.
Contact information
Practice address
4940 E STATE ST, SUITE 3, ROCKFORD, IL 61108-2270
(815) 227-0081
(815) 387-5316
Mailing address
607 SUSSEX DR, JANESVILLE, WI 53546-1915
(608) 752-4309
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1362-029
WI
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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