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1215541487
JENNIFER RAE FAIRBAIRN
SANTA ROSA, CA
NPI
1215541487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 31385)
Enumeration Date
2020-09-03
Last Update Date
2020-09-03
Business Address
JENNIFER RAE FAIRBAIRN CMT
2470 CHANATE RD
SANTA ROSA, CA 95404-2110
Phone number: 707-326-5373
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Mailing Address
JENNIFER RAE FAIRBAIRN CMT
2470 CHANATE RD
SANTA ROSA, CA 95404-2110
Phone number: 707-326-5373
Copy
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