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1386081065
JENNIFER LYNN FAIRBANKS
WILLMAR, MN
NPI
1386081065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 3334)
Enumeration Date
2013-06-04
Last Update Date
2013-06-05
Business Address
Dr. JENNIFER LYNN FAIRBANKS O.D
1801 19TH AVE SW
WILLMAR, MN 56201
Phone number: 320-235-2020
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Mailing Address
Dr. JENNIFER LYNN FAIRBANKS O.D
1801 19TH AVE SW
WILLMAR, MN 56201
Phone number: 320-235-2020
Copy
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