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Individual

JEAN M FABINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1717 S CALHOUN ST, FORT WAYNE, IN 46802-5257
(260) 458-2641
Mailing address
1857 FLORIDA DR, FORT WAYNE, IN 46805-5036
(260) 615-9512

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28235118A
IN

Other

Enumeration date
01/31/2024
Last updated
01/31/2024
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