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1427434174
KELLY FAIRBAIRN
VENTURA, CA
NPI
1427434174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: CA 20A15189)
Enumeration Date
2015-08-05
Last Update Date
2023-09-13
Business Address
KELLY FAIRBAIRN DO
147 N BRENT ST
VENTURA, CA 93003
Phone number: 805-652-5672
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Mailing Address
KELLY FAIRBAIRN DO
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number:
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