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1518600360
FABIOLA TYSON
EL CENTRO, CA
NPI
1518600360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95020675)
Enumeration Date
2022-04-19
Last Update Date
2022-04-19
Business Address
FABIOLA TYSON FNP-C
2026 N IMPERIAL AVE STE C
EL CENTRO, CA 92243-1607
Phone number: 760-592-4351
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Mailing Address
FABIOLA TYSON FNP-C
2010 CHAPARRAL DR
EL CENTRO, CA 92243-6115
Phone number: 760-790-7665
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