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1215949896
MICHAEL W FAIRBANKS
BILOXI, MS
NPI
1215949896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-066504)
Enumeration Date
2006-08-12
Last Update Date
2016-06-27
Business Address
-- MICHAEL W FAIRBANKS FNP
2490 PASS RD
BILOXI, MS 39531-2838
Phone number: 228-207-9967
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Mailing Address
-- MICHAEL W FAIRBANKS FNP
7421 JOE FOUNTAIN RD
OCEAN SPRINGS, MS 39564-9626
Phone number: 228-238-9149
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