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Individual

JOSHUA AARON FULLMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2004 N 12TH ST, GRAND JCT, CO 81501-2982
(970) 263-3700
Mailing address
PO BOX 1687, GRAND JCT, CO 81502-1687
(970) 263-6700

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
11415611-1204
UT
2083X0100X
Occupational Medicine Physician
Primary
DR.0066798
CO

Other

Enumeration date
05/16/2018
Last updated
07/23/2021
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