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1053402826
DOUGLAS FLOYD FACKLER
EVANSVILLE, IN
NPI
1053402826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA00512)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
Mr. DOUGLAS FLOYD FACKLER PA-C
EVANSVILLE VA OUTPATIENT CLINIC 500 E. WALNUT
EVANSVILLE, IN 47713
Phone number: 812-465-6202
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Mailing Address
Mr. DOUGLAS FLOYD FACKLER PA-C
143 PENNYRILE DR
MADISONVILLE, KY 42431-9219
Phone number:
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