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Organization

LIVING OUR DREAMS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM FOWLER FULTON JR. MD (OWNER)
(480) 917-7546
Entity
Organization

Contact information

Practice address
2557 S VAL VISTA DR STE 101, GILBERT, AZ 85295-6230
(480) 917-7546
(480) 917-7571
Mailing address
2557 S VAL VISTA DR STE 101, GILBERT, AZ 85295-6230
(480) 917-7546
(480) 917-7571

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
09/29/2010
Last updated
09/29/2010
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