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Organization
JENNIFER L FAIRBANKS INC
Active
Organization
JENNIFER L FAIRBANKS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER L FAIRBANKS OD (OPTOMETRIST/OWNER)
(320) 894-0579
Entity
Organization
Contact information
Practice address
210 2ND AVE N, SAUK RAPIDS, MN 56379-1608
(320) 257-4990
(320) 257-4991
Mailing address
210 2ND AVE N, SAUK RAPIDS, MN 56379-1608
(320) 257-4990
(320) 257-4991
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
NULL
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
Other
Enumeration date
08/04/2026
Last updated
08/27/2026
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