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1902899230
DANIEL W. FEDORE
CASPER, WY
NPI
1902899230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WY 247)
Enumeration Date
2005-08-23
Last Update Date
2018-06-11
Business Address
DANIEL W. FEDORE PA
4140 CENTENNIAL HILLS BLVD STE A
CASPER, WY 82609
Phone number: 307-265-7205
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Mailing Address
DANIEL W. FEDORE PA
4140 CENTENNIAL HILLS BLVD STE A
CASPER, WY 82609-3265
Phone number: 307-265-7205
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