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1316166218
JONATHAN M. FAIRBANKS
PULLMAN, WA
NPI
1316166218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA 8587)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
-- JONATHAN M. FAIRBANKS DDS
1410 SE BISHOP BLVD
PULLMAN, WA 99163-5419
Phone number: 509-332-2329
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Mailing Address
-- JONATHAN M. FAIRBANKS DDS
910 SE HIGH ST
PULLMAN, WA 99163-2230
Phone number: 509-332-7463
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