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1407047012
BRIAN SCOTT FOGU
OSWEGO, NY
NPI
1407047012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 029581)
Enumeration Date
2007-08-08
Last Update Date
2019-04-03
Business Address
BRIAN SCOTT FOGU P.T.
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
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Mailing Address
BRIAN SCOTT FOGU P.T.
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
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