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1174240048
REBECCA LYNN FAIRBANKS
BOISE, ID
NPI
1174240048
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Former Name
REBECCA LYNN CUTHBERTSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: ID N-38031)
Enumeration Date
2022-10-21
Last Update Date
2022-10-21
Business Address
REBECCA LYNN FAIRBANKS RN
1112 W MAIN ST STE 106
BOISE, ID 83702-5137
Phone number: 208-949-9904
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Mailing Address
REBECCA LYNN FAIRBANKS RN
4722 N TATTENHAM WAY
BOISE, ID 83713-2528
Phone number: 208-908-9183
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