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1649467390
GUSTAVO ADOLFO FABREGA
LAWTON, OK
NPI
1649467390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: OK 28388)
Enumeration Date
2007-09-26
Last Update Date
2011-09-12
Business Address
-- GUSTAVO ADOLFO FABREGA M.D.
3401 W GORE BLVD
LAWTON, OK 73505-6332
Phone number: 580-355-8620
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Mailing Address
-- GUSTAVO ADOLFO FABREGA M.D.
3709 NE EASTLAKE DR
LAWTON, OK 73507-4205
Phone number: 225-936-2229
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