Individual
JOHN FULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5093 FRONT ST, JENNERS, PA 15546-9606
(814) 629-5581
Mailing address
5093 FRONT ST, JENNERS, PA 15546-9606
(814) 629-5581
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007084L
PA
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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