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Diana Fuller,Micou
NPI 1205348554 · on the registry since 2017 · sole proprietor
Practice
- Address
- 825 James H Meredith St
Kosciusko, MS 39090 - Phone
- (662) 289-3699
Registry record
- Primary taxonomy
- Voluntary or Charitable Agency
251V00000X
- Sex
- Female
- Record last updated
- 2017-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi