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Individual

FALLON L FABRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(225) 776-7814
Mailing address
1213 WALNUT ST APT 310, PHILADELPHIA, PA 19107-4912
(225) 776-7814

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP025654
PA

Other

Enumeration date
04/26/2022
Last updated
04/26/2022
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