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1366562696
PETER G. FADOW
VERNON, TX
NPI
1366562696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
283Q00000X Psychiatric Hospital
(Licence: TX J7951)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
PETER G. FADOW M.D.
4730 COLLEGE DR 6515 KEMP BLVD, WICHITA FALLS, TX 76308
VERNON, TX 76384-4009
Phone number: 940-552-9901
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Mailing Address
PETER G. FADOW M.D.
4730 COLLEGE DR 6515 KEMP BLVD, WICHITA FALLS, TX 76308
VERNON, TX 76384-4009
Phone number: 940-552-9901
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