Individual
JOSHUA FULLMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1100 NORTH AVE, GRAND JUNCTION, CO 81501-3122
(970) 248-1809
Mailing address
432 1/2 KEENER ST, GRAND JUNCTION, CO 81504-4723
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
646
CO
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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