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Individual

JENNIFER FULMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1113 GOOSE PLATTER RD, BATESBURG, SC 29006-9294
(803) 634-1440
Mailing address
1113 GOOSE PLATTER RD, BATESBURG, SC 29006-9294
(803) 634-1440

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
12/22/2020
Last updated
12/22/2020
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