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Individual

JANELLE TACLOB FABIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-1725
Mailing address
2 DE VACA CT, ODESSA, TX 79765-1430
(432) 770-8886

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1022071
TX

Other

Enumeration date
12/24/2020
Last updated
12/27/2020
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