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1265582076
JAY F. FAIRBORN
SAN RAFAEL, CA
NPI
1265582076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A67589)
Enumeration Date
2007-01-12
Last Update Date
2021-12-13
Business Address
JAY F. FAIRBORN MD
99 MONTECILLO RD
SAN RAFAEL, CA 94903-3308
Phone number: 415-444-2000
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Mailing Address
JAY F. FAIRBORN MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3466
Phone number: 510-625-6262
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