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Individual

ALBA FABRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9128 DURHAM AVE, NORTH BERGEN, NJ 07047-4439
(917) 747-5538
Mailing address
9128 DURHAM AVE, NORTH BERGEN, NJ 07047-4439
(917) 747-5538

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
06/19/2021
Last updated
06/19/2021
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