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1811951528
LEA A FAIRBANKS
MINNEAPOLIS, MN
NPI
1811951528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MN 30253)
Enumeration Date
2006-04-12
Last Update Date
2021-03-11
Business Address
LEA A FAIRBANKS MD
800 E 28TH ST
MINNEAPOLIS, MN 55407-3723
Phone number: 612-863-4502
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Mailing Address
LEA A FAIRBANKS MD
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-5000
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