MRS. Suzanne Marie Fuller

NPI #1821135013 in Overland Park, Kansas

Provider Information

NPI Number: 1821135013
Entity Type: Individual
Name: MRS. Suzanne Marie Fuller
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Jan 30, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 13130 HADLEY ST
Address 2: #2011
City: Overland Park
State: Kansas
ZIP Code: 66213-2781
Phone: (913) 402-7624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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