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1225868185
AMANDA FAIRBAIRN
EAST ORANGE, NJ
NPI
1225868185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00876100)
Enumeration Date
2024-08-06
Last Update Date
2024-08-06
Business Address
AMANDA FAIRBAIRN PA-C
300 CENTRAL AVE
EAST ORANGE, NJ 07018-2819
Phone number: 973-672-8400
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Mailing Address
AMANDA FAIRBAIRN PA-C
PO BOX 281
BUSHKILL, PA 18324-0281
Phone number:
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