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1841623303
KALYN FAIRBANKS
MISSOULA, MT
NPI
1841623303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MT PTP-PT-LIC-5939)
Enumeration Date
2013-08-19
Last Update Date
2013-08-19
Business Address
-- KALYN FAIRBANKS DPT
5000 BLUE MOUNTAIN RD
MISSOULA, MT 59804-9213
Phone number: 406-251-2323
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Mailing Address
-- KALYN FAIRBANKS DPT
5000 BLUE MOUNTAIN RD
MISSOULA, MT 59804-9213
Phone number: 406-251-2323
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