CHAD J FAIRBANKS

LOGAN, UT
NPI1518257039
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2011-04-18
Last Update Date2011-04-18
Business Address
Mr. CHAD J FAIRBANKS
90 EAST 200 NORTH
LOGAN, UT 84321-4034
Phone number: 435-752-0750
Mailing Address
Mr. CHAD J FAIRBANKS
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
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