Vincent Alan Fagan
Vincent Alan Fagan is a Student in an Organized Health Care Education/Training Program in Mobile, Alabama. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
371 Cabana Blvd W Apt 107Mobile, AL 36609-1610
Phone: (765) 719-1800
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1962091850 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 14, 2021 |
| Last updated in NPPES | January 14, 2021 |
| Certification date | January 14, 2021 |
| Mailing address | 371 Cabana Blvd W Apt 107, Mobile, AL 36609-1610 |
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