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Christopher Leigh Fullmer
Student in an Organized Health Care Education/Training Program in Glendale, Arizona
NPI 1053012831

Christopher Leigh Fullmer is a Student in an Organized Health Care Education/Training Program based in Glendale, AZ. Christopher Leigh Fullmer practices in Glendale, AZ. The NPI Number for Christopher Leigh Fullmer is 1053012831 and holds a License No. (Arizona).

The current practice location address for Christopher Leigh Fullmer is 19555 N 59Th Ave, Glendale, AZ and can be reached out via phone at 653-572-3200.

Location: 19555 N 59Th Ave, Glendale, AZ, 85308-2719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053012831
Provider Name
Christopher Leigh Fullmer
Credential
Provider Entity Type
Individual
Gender
Male
Address
19555 N 59Th Ave, Glendale, AZ, 85308-2719
Phone Number
653-572-3200
Fax Number
Provider Enumeration Date
03/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19555 N 59Th Ave
City
Glendale
State
Arizona
Zip
85308-6813
Phone Number
653-572-3200
Fax Number
person
Provider Business Mailing Address Details
Address
19555 N 59Th Ave
City
Glendale
State
Arizona
Zip
85308-6813
Phone Number
653-572-3200
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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