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Individual

FABIAN MEJORADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3 BLACKBURN CTR, GLOUCESTER, MA 01930-2268
(978) 283-7198
Mailing address
3 MAPLE ST APT 2, GLOUCESTER, MA 01930-2809
(781) 884-7729

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/19/2023
Last updated
04/19/2023
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