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Individual
MISS MARY ELAINE MABAYAG FABRICANTE
Active
Individual
MISS MARY ELAINE MABAYAG FABRICANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.014844
IL
225100000X
Physical Therapist
11184024
WI
Other
Enumeration date
06/18/2009
Last updated
04/15/2025
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