Victor P Fuller

NPI 1003110628 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1003110628
Gender Male
Enumeration Date 12/23/2010
Last Updated 12/23/2010
Entity Type Individual
Active Over 5 years ago
Practice Location
19530 KEDZIE AVE
FLOSSMOOR IL, 60422-1778, US
Phone (708) 754-8815
Fax
Business Location
16278 PRINCE DR
SOUTH HOLLAND IL, 60473-3233, US
Phone (708) 754-8815
Fax
Toxanomy
Taxonomy Code 103K00000X
License State
License Number
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According to our database, Victor P Fuller NPI is 1003110628, taxonomy code is 103K00000X Victor P Fuller physically located at 19530 Kedzie Ave, Flossmoor IL, 60422-1778. NPI Number Victor P Fuller has the Individual type.

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1003110628 NPI number is provided on an as is basis without warranty of any kind. 1003110628 is maintained by the National Plan & Provider Enumeration System. The contents of Victor P Fuller are for informational purposes only.