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1760014112
FABIAN CARMONA
LUBBOCK, TX
NPI
1760014112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL ISW13636)
Enumeration Date
2020-02-04
Last Update Date
2020-02-04
Business Address
FABIAN CARMONA
6104 AVENUE Q SOUTH DR
LUBBOCK, TX 79412-3700
Phone number: 806-472-3400
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Mailing Address
FABIAN CARMONA
6104 AVENUE Q SOUTH DR
LUBBOCK, TX 79412-3700
Phone number: 806-472-3400
Copy
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