MARIE LOUISE FAGAN

SAN DIEGO, CA
NPI1104261726
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
Enumeration Date2013-05-09
Last Update Date2013-05-09
Business Address
-- MARIE LOUISE FAGAN IDC
4077 32ND ST APT 8
SAN DIEGO, CA 92104-2080
Phone number: 678-764-4067
Mailing Address
-- MARIE LOUISE FAGAN IDC
4077 32ND ST APT 8
SAN DIEGO, CA 92104-2080
Phone number: 678-764-4067
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