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FULLER SELLE LLC

Medical Equipment Supplier Yellow Pages

Mesa, Arizona

Provider NPI: 1053573154

Organization Information:
Organization Name:  FULLER SELLE LLC


Practice Location:
215 S POWER RD  MESA, AZ 85206 US
Tel: 408-985-6992  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N3336I0012XSuppliers
Pharmacy
Y3336L0003XSuppliers
Pharmacy
AZY004869

Other Provider Identifiers:

IssuerNumberStateType
OTHER ID NUMBER035539201
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




JOBS AZ - Page 1

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