MR. Jacob Dean Fuller, LPN
NPI #1720423536 in Springfield, Oregon
Provider Information
- NPI Number
- 1720423536
- Entity Type
- Individual
- Name
- MR. Jacob Dean Fuller, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- May 7, 2013
- Last Updated
- May 7, 2013
Practice Location
- Address
- 3333 RIVERBEND DR
- City
- Springfield
- State
- Oregon
- ZIP Code
- 97477-8800
- Phone
- (877) 350-7430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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