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Individual

SARAH FULLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
231 WEST HANCOCK STREET, CAMPUS BOX 65, MILLEDGEVILLE, GA 31061
(478) 445-1787
Mailing address
640 W THOMAS ST, APT 105, MILLEDGEVILLE, GA 31061-2356

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002580
GA

Other

Enumeration date
11/20/2014
Last updated
11/20/2014
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