Individual
KRISTI FULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 REDBIRD DR, IDABEL, OK 74745-3718
(580) 208-2744
Mailing address
403 REDBIRD DR, IDABEL, OK 74745-3718
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/01/2007
Last updated
02/27/2009
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