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1912102989
BRENDAN H FITZSIMMONS
MARBLETON, WY
NPI
1912102989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WY 6031-A)
Enumeration Date
2007-06-19
Last Update Date
2016-11-03
Business Address
Mr. BRENDAN H FITZSIMMONS MD
103 W 3RD ST.
MARBLETON, WY 83113
Phone number: 307-276-3306
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Mailing Address
Mr. BRENDAN H FITZSIMMONS MD
PO BOX 787
BIG PINEY, WY 83113-0787
Phone number: 307-276-3306
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