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Chelyn Fullmer
NPI 1740656453 · on the registry since 2015
Practice
- Address
- 5373 W Lake Park Blvd
Salt Lake City, UT 84120 - Phone
- (801) 902-7960
Registry record
- Primary taxonomy
- 367A00000X
367A00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-03-20
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 Utah