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Individual

MR. JAMES A FULLERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
108 N ADAMS ST, QUINCY, FL 32351-2404
(229) 985-2080
(229) 890-3397
Mailing address
108 N ADAMS ST, QUINCY, FL 32351-2404
(850) 875-0333
(850) 875-0335

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A010487
FL

Other

Enumeration date
06/13/2007
Last updated
07/08/2007
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