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Organization

FUGERE ENTERPRISES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRENT J. FUGERE D.C. (OWNER)
(515) 987-0299
Entity
Organization

Contact information

Practice address
2180 NW 156TH ST, STE 102, CLIVE, IA 50325-7982
(515) 987-0299
(515) 987-5865
Mailing address
2180 NW 156TH ST, STE 102, CLIVE, IA 50325-7982
(515) 987-0299
(515) 987-5865

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05949
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2137992
IA
Enumeration date
12/03/2007
Last updated
06/26/2008
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