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Marie Fagan, IDC
NPI 1104261726 · on the registry since 2013 · sole proprietor
Practice
- Address
- 4077 32nd St
Apt 8
San Diego, CA 92104 - Phone
- (678) 764-4067
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Military Health Care Provider
171000000X
- Sex
- Female
- Record last updated
- 2013-05-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California