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Individual
MRS. SUSAN ANN FABIAN
Active
Individual
MRS. SUSAN ANN FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
80248-30
WI
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
80248-30
WI
163WD0400X
Diabetes Educator Registered Nurse
80248-30
WI
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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