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Individual

GLEN FABIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3404 TOLAS CT, NATIONAL CITY, CA 91950-3166
(619) 339-1197
Mailing address
3404 TOLAS CT, NATIONAL CITY, CA 91950-3166
(619) 339-1197

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95266432
CA

Other

Enumeration date
01/05/2022
Last updated
01/05/2022
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