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Individual

KYLE J FECTEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1305 N MARTIN AVE, TUCSON, AZ 85721-7505
(520) 626-3808
Mailing address
7881 W SCHOOL HILL PL, TUCSON, AZ 85743-7505
(520) 343-9140

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN192626
AZ
163WC0200X
Critical Care Medicine Registered Nurse
12743151
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
269868
AZ

Other

Enumeration date
11/08/2021
Last updated
02/03/2022
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