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Individual

DR. ALEXANDRIA ROSE FANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1400 N BALDWIN AVE, MARION, IN 46952-1929
(765) 664-6148
Mailing address
14750 SILT WAY APT 306, NOBLESVILLE, IN 46062-9464
(765) 721-7536

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004682A
IN

Other

Enumeration date
07/01/2026
Last updated
07/01/2026
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