Nora Grace Fullenkamp

NPI #1487136016 in Centerville, Ohio

Provider Information

NPI Number: 1487136016
Entity Type: Individual
Name: Nora Grace Fullenkamp
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 30, 2018
Last Updated: Aug 30, 2018

Practice Location

Address: 2811 COBBLESTONE CROSSING CT
City: Centerville
State: Ohio
ZIP Code: 45458-9152
Phone: (937) 286-7271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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