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Individual
MS. FABIANA GARCIA
Active
Individual
MS. FABIANA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
124Q00000X
OR
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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