John Anthony Fullwood Jr.
John Anthony Fullwood Jr. is a Case Manager/Care Coordinator in South Salt Lake, Utah. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
344 E 100 SSouth Salt Lake, UT 84115
Phone: (801) 322-3222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1851927602 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 12, 2020 |
| Last updated in NPPES | March 12, 2020 |
| Certification date | March 12, 2020 |
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