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Individual
DR. TRAVIS EDWARD FAIRBANKS
Active
Individual
DR. TRAVIS EDWARD FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04230411
MI
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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