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1679815195
BRANDON FETTEROLF
TACOMA, WA
NPI
1679815195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NC 2017-01929)
Enumeration Date
2013-03-22
Last Update Date
2018-03-07
Business Address
-- BRANDON FETTEROLF D.O.
MADIGAN ARMY MEDICAL CENTER 9040 FITZSIMMONS DR
TACOMA, WA 98431
Phone number: 989-859-3260
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Mailing Address
-- BRANDON FETTEROLF D.O.
MADIGAN ARMY MEDICAL CENTER 9040 FITZSIMMONS DR
TACOMA, WA 98431
Phone number: 989-859-3260
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