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Individual

JULIA FAIRBANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
745 BUENA VISTA DR, LANDER, WY 82520-3431
(307) 332-2941
(307) 332-1920
Mailing address
745 BUENA VISTA DR, LANDER, WY 82520-3431
(307) 332-2941
(307) 332-1920

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3738
CO
363A00000X
Physician Assistant
Primary
585
WY

Other

Enumeration date
11/10/2013
Last updated
07/17/2015
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