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1356958508
SHARON V FAIRBOURN
LOGAN, UT
NPI
1356958508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: UT 10579748-4102)
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
SHARON V FAIRBOURN CCC-SLP
6410 OLD MAIN HL
LOGAN, UT 84322-6410
Phone number: 435-797-9234
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Mailing Address
SHARON V FAIRBOURN CCC-SLP
6410 OLD MAIN HL
LOGAN, UT 84322-6410
Phone number: 435-797-9234
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