MIKALA FAIRBANKS

OREM, UT
NPI1306391370
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: UT  178234323)
Enumeration Date2016-08-19
Last Update Date2016-08-19
Business Address
-- MIKALA FAIRBANKS
638 N 450 W
OREM, UT 84057-3794
Phone number: 801-373-4760
Mailing Address
-- MIKALA FAIRBANKS
638 N 450 W
OREM, UT 84057-3794
Phone number: 801-717-6027
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