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Marie Louise Fagan, IDC
Military Health Care Provider in San Diego, California
NPI 1104261726

Marie Louise Fagan is a Military Health Care Provider based in San Diego, CA. Marie Louise Fagan practices in San Diego, CA and has the professional credentials of IDC. The NPI Number for Marie Louise Fagan is 1104261726 and holds a License No. (California).

The current practice location address for Marie Louise Fagan is 4077 32Nd St, San Diego, CA and can be reached out via phone at 678-764-4067. You can also correspond with Marie Louise Fagan through the mailing address at 4077 32ND ST, SAN DIEGO, CA - 92104-2080 (mailing address contact number: 678-764-4067).

Location: 4077 32Nd St, San Diego, CA, 92104-2080
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Provider Profile Details
NPI Number
1104261726
Provider Name
Marie Louise Fagan
Credential
IDC
Provider Entity Type
Individual
Gender
Female
Address
4077 32Nd St, San Diego, CA, 92104-2080
Phone Number
678-764-4067
Fax Number
Provider Enumeration Date
05/09/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1710-1002X 01 IDC
institution
Provider Business Practice Location Address Details
Address
4077 32Nd St
City
State
Zip
92104-2080
Phone Number
678-764-4067
Fax Number
person
Provider Business Mailing Address Details
Address
4077 32Nd St
City
State
Zip
92104-2080
Phone Number
678-764-4067
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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