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1790759462
BRINTON J FEGLEY
SHREVEPORT, LA
NPI
1790759462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: LA AP04104)
Enumeration Date
2006-02-17
Last Update Date
2021-06-24
Business Address
BRINTON J FEGLEY NP
2727 HEARNE AVE
SHREVEPORT, LA 71103-3931
Phone number: 318-631-6400
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Mailing Address
BRINTON J FEGLEY NP
PO BOX 37388
SHREVEPORT, LA 71133-7388
Phone number: 318-631-6400
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