KIMBERLY MICHELLE FAIRBANK

COOS BAY, OR
NPI1669563003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183700000X Pharmacy Technician
(Licence: OR  CPT0000480)
Enumeration Date2006-09-28
Last Update Date2007-07-08
Business Address
Ms. KIMBERLY MICHELLE FAIRBANK CPhT
1775 THOMPSON RD
COOS BAY, OR 97420-2125
Phone number: 541-269-8160
Mailing Address
Ms. KIMBERLY MICHELLE FAIRBANK CPhT
1951 BROADWAY ST
NORTH BEND, OR 97459-2325
Phone number: 541-751-0554
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