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1629316005
CHELSEA FAIRBANKS
NOVATO, CA
NPI
1629316005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA D7571234)
Enumeration Date
2013-01-20
Last Update Date
2013-01-20
Business Address
-- CHELSEA FAIRBANKS
2536 LAGUNA VISTA DR
NOVATO, CA 94945-1526
Phone number: 415-250-0797
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Mailing Address
-- CHELSEA FAIRBANKS
2536 LAGUNA VISTA DR
NOVATO, CA 94945-1526
Phone number:
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