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Individual

JONATHAN L FAUBION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
621 N 10TH ST E, RIVERTON, WY 82501-2906
(307) 856-6612
(307) 856-1767
Mailing address
PO BOX 1457, RIVERTON, WY 82501-0160
(307) 856-6612
(307) 856-1767

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
645
WY

Other

Enumeration date
01/08/2007
Last updated
02/21/2008
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