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Individual

MRS. GINGER HALL FABRIZIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
2000 PINE ST, ABILENE, TX 79601-2434
(325) 673-0100
(325) 670-6172
Mailing address
1680 ANTILLEY ROAD, SUITE 115, ABILENE, TX 79606-5247
(325) 428-5680
(325) 428-5689

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01599
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA01599
STATE LICENSE
TX
Enumeration date
06/22/2006
Last updated
08/04/2015
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