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1134901846
TRAVIS EDWARD FAIRBANKS
ESCANABA, MI
NPI
1134901846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI F04230411)
Enumeration Date
2023-10-17
Last Update Date
2023-10-17
Business Address
Dr. TRAVIS EDWARD FAIRBANKS DNP
3401 LUDINGTON ST
ESCANABA, MI 49829-1300
Phone number: 906-786-5707
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Mailing Address
Dr. TRAVIS EDWARD FAIRBANKS DNP
321 W MAGNETIC ST APT 2
MARQUETTE, MI 49855-2747
Phone number: 906-399-3077
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