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Individual

DAVID ROBERT FULTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 232-3000
Mailing address
2460 VALLEY VIEW AVE E, MAPLEWOOD, MN 55119-5871
(763) 438-0528

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7962
MN

Other

Enumeration date
05/09/2021
Last updated
05/27/2021
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