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Individual

SARAH MARIE FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
2000 ROCKFORD RD, CHARLES CITY, IA 50616-9101
(641) 257-3496
(641) 257-3291
Mailing address
2000 ROCKFORD RD, CHARLES CITY, IA 50616-9101

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
121067
IA
363LX0106X
Occupational Health Nurse Practitioner
Primary
A157279
IA

Other

Enumeration date
03/19/2020
Last updated
03/19/2020
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