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Individual

HA THU FULLERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
765 MAIN ST, SPRINGFIELD, NE 68059-5700
(402) 592-1300
Mailing address
765 MAIN ST, SPRINGFIELD, NE 68059-5700

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
54416
NE

Other

Enumeration date
01/14/2025
Last updated
01/14/2025
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