Individual
CAMERON FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 NE 50TH ST, OKLAHOMA CITY, OK 73105-1811
(405) 528-2884
Mailing address
201 NE 50TH ST, OKLAHOMA CITY, OK 73105-1811
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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