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1972861573
BRIAN MATTHEW FECTEAU
FORT RILEY, KS
NPI
1972861573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2012-05-02
Last Update Date
2012-05-02
Business Address
Mr. BRIAN MATTHEW FECTEAU PA-C
600 CAISSON HILL RD
FORT RILEY, KS 66442-7037
Phone number: 785-239-7151
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Mailing Address
Mr. BRIAN MATTHEW FECTEAU PA-C
600 CAISSON HILL RD
FORT RILEY, KS 66442-7037
Phone number: 785-239-7151
Copy
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