MICHAEL K FAIRBANKS

SAN DIMAS, CA
NPI1578678926
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: CA  E2726)
Enumeration Date2006-08-19
Last Update Date2016-12-29
Business Address
-- MICHAEL K FAIRBANKS DPM
425 W BONITA AVE STE 110
SAN DIMAS, CA 91773-2543
Phone number: 909-599-0981
Mailing Address
-- MICHAEL K FAIRBANKS DPM
425 W BONITA AVE STE 110
SAN DIMAS, CA 91773-2543
Phone number: 909-599-0981
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