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1114901964
WILLIAM D FAIRBANKS
CHEYENNE, WY
NPI
1114901964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WY 261)
Enumeration Date
2005-12-05
Last Update Date
2011-03-15
Business Address
Dr. WILLIAM D FAIRBANKS Ph.D., LPC
2526 SEYMOUR AVE
CHEYENNE, WY 82001-3159
Phone number: 307-634-9653
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Mailing Address
Dr. WILLIAM D FAIRBANKS Ph.D., LPC
2526 SEYMOUR AVE
CHEYENNE, WY 82001-3159
Phone number: 307-634-9653
Copy
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