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Individual
ERIC FABIEN
Active
Individual
ERIC FABIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
SP018554
PA
363L00000X
Nurse Practitioner
Primary
SP018554
PA
Other
Enumeration date
02/07/2018
Last updated
06/01/2021
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