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1275996894
ETOSHA C FEGAN
BEND, OR
NPI
1275996894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: OR 4311-ATI)
Enumeration Date
2016-03-31
Last Update Date
2022-11-15
Business Address
ETOSHA C FEGAN OD
143 SW SHEVLIN HIXON DR STE 101
BEND, OR 97702-3189
Phone number: 541-317-9747
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Mailing Address
ETOSHA C FEGAN OD
143 SW SHEVLIN HIXON DR STE 101
BEND, OR 97702-3189
Phone number: 541-317-9747
Copy
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