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Individual

MS. ROBYN L FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
67555 E PALM CANYON DR STE C113, CATHEDRAL CITY, CA 92234-5412
(760) 770-1277
(760) 328-2191
Mailing address
67555 E PALM CANYON DR STE C113, CATHEDRAL CITY, CA 92234-5412
(760) 770-1277
(760) 328-2191

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17873
CA

Other

Enumeration date
07/18/2006
Last updated
11/08/2018
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