Individual
CARA NICOLE FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 E DUKE STREET, HUGO, OK 74743
(580) 326-2200
Mailing address
712 SE 1ST ST, ANTLERS, OK 74523-4216
(602) 386-0012
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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