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1134224512
TRACY MARIE FAIRBANKS
BOZEMAN, MT
NPI
1134224512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MT 9807)
Enumeration Date
2006-09-13
Last Update Date
2021-08-05
Business Address
TRACY MARIE FAIRBANKS MD
935 HIGHLAND BLVD STE 2200
BOZEMAN, MT 59715-6915
Phone number: 406-414-5700
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Mailing Address
TRACY MARIE FAIRBANKS MD
935 HIGHLAND BLVD SUITE 2210
BOZEMAN, MT 59715-6904
Phone number: 406-587-3133
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