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1073625406
KENNETH W. FERBRACHE
LOVELL, WY
NPI
1073625406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WY 147)
Enumeration Date
2006-08-31
Last Update Date
2010-09-27
Business Address
Mr. KENNETH W. FERBRACHE P.A.
1115 LANE 12
LOVELL, WY 82431-9537
Phone number: 307-548-5201
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Mailing Address
Mr. KENNETH W. FERBRACHE P.A.
1115 LANE 12
LOVELL, WY 82431-9537
Phone number: 307-548-5201
Copy