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Individual

DR. CHRIS M FAIRBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
601 W FRANCIS AVE, SPOKANE, WA 99205-6427
(509) 326-2772
(509) 327-1405
Mailing address
601 W FRANCIS AVE, SPOKANE, WA 99205-6427
(509) 326-2772
(509) 327-1405

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003032
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2034684
WA
01
5493150001
DME#
WA
Enumeration date
12/01/2005
Last updated
07/15/2022
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