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1316329758
PAUL FAIRBANKS
PRINEVILLE, OR
NPI
1316329758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR d10255)
Enumeration Date
2015-06-22
Last Update Date
2017-02-28
Business Address
-- PAUL FAIRBANKS DDS
601 NW 3RD ST
PRINEVILLE, OR 97754
Phone number: 541-447-4888
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Mailing Address
-- PAUL FAIRBANKS DDS
601 NW 3RD ST
PRINEVILLE, OR 97754-1717
Phone number: 541-447-4888
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