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Individual
MRS. MARLENE S FABO
Active
Individual
MRS. MARLENE S FABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9690
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11940001
CITRUS HMO
FL
01
—
27613
BCBS
FL
01
—
354934
WELLCARE
FL
05
—
886199400
—
FL
Enumeration date
01/09/2007
Last updated
02/14/2017
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