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1124619846
REBECCA CARVER FAGAN
TITUSVILLE, FL
NPI
1124619846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11010912)
Enumeration Date
2021-01-27
Last Update Date
2024-07-02
Business Address
REBECCA CARVER FAGAN APRN
250 HARRISON ST
TITUSVILLE, FL 32780-5094
Phone number: 321-268-6868
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Mailing Address
REBECCA CARVER FAGAN APRN
250 HARRISON ST
TITUSVILLE, FL 32780-5094
Phone number: 321-268-6868
Copy
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