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Individual

BRINTON J FEGLEY

Active
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Individual

BRINTON J FEGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP04104
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1160016
LA
Enumeration date
02/17/2006
Last updated
06/24/2021
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