MRS. Barbara Jeanne Fuller

NPI #1396962320 in Pataskala, Ohio

Provider Information

NPI Number: 1396962320
Entity Type: Individual
Name: MRS. Barbara Jeanne Fuller
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Apr 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 458 FORWARD PASS RD SW
City: Pataskala
State: Ohio
ZIP Code: 43062-7429
Phone: (614) 562-3188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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