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Individual

CHRISJON AYEN FABIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
7015 N WEST AVE, FRESNO, CA 93711-0461
(559) 440-1404
Mailing address
12113 SHADOW RIDGE WAY, NORTHRIDGE, CA 91326-3826
(818) 667-4271

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
72093
CA

Other

Enumeration date
12/05/2014
Last updated
12/05/2014
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