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Gabrielle Fazio
NPI 1417671777 · on the registry since 2022
Practice
- Address
- 4430 Missouri Ave
Fort Leonard Wood, MO 65473 - Phone
- (573) 596-0178
- Organisation at this address
- Glwach
United States ArmyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 171
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-30
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 Missouri