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Individual
PETER JUSTIN FIECHTL
Active
Individual
PETER JUSTIN FIECHTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH3237
—
AK
Enumeration date
01/09/2012
Last updated
01/09/2012
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