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1124411368
SANDRA L FAIRBANKS
GREELEY, CO
NPI
1124411368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: CO LPCC.0014194)
Enumeration Date
2015-03-12
Last Update Date
2015-03-12
Business Address
-- SANDRA L FAIRBANKS MA
928 12TH ST
GREELEY, CO 80631-4024
Phone number: 970-347-2120
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Mailing Address
-- SANDRA L FAIRBANKS MA
1300 N 17TH AVE
GREELEY, CO 80631-9584
Phone number: 970-347-2120
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