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1336396761
BURT FAIBISOFF, MD, PLLC
LAKE HAVASU CITY, AZ
NPI
1336396761
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Entity Type
Organization
Authorized Contact
BURT I. FAIBISOFF
Member
928-680-7707
Organization Subpart ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: AZ 13213)
Enumeration Date
2008-08-27
Last Update Date
2008-08-27
Business Address
BURT FAIBISOFF, MD, PLLC
2035 MESQUITE AVE SUITE A
LAKE HAVASU CITY, AZ 86403-5894
Phone number: 928-680-7707
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Mailing Address
BURT FAIBISOFF, MD, PLLC
2035 MESQUITE AVE SUITE A
LAKE HAVASU CITY, AZ 86403-5894
Phone number: 928-680-7707
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