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1033313663
FABIOLA SIANTURI
FONTANA, CA
NPI
1033313663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 15944)
Enumeration Date
2007-06-14
Last Update Date
2021-06-10
Business Address
FABIOLA SIANTURI MSN, FNP
8110 MANGO AVE
FONTANA, CA 92335-3603
Phone number: 909-854-0430
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Mailing Address
FABIOLA SIANTURI MSN, FNP
PO BOX 12209
SAN BERNARDINO, CA 92423-2209
Phone number: 909-335-4188
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