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Individual

MS. CAROL FABIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, BC

Contact information

Practice address
SECOND ST AND SOUTH RIVA RIDGE BLVD, CONNER TROOP MEMORIAL CLINIC, FT DRUM, NY 13602
(315) 772-8422
(315) 772-1689
Mailing address
123 PINE DR, BLACK RIVER, NY 13612-2110
(315) 772-8422
(315) 772-1689

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NN09868200
NJ

Other

Enumeration date
10/24/2005
Last updated
07/08/2007
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