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1851305197
ALFRED M. FAIRBANKS
PULLMAN, WA
NPI
1851305197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA AF4803804)
Enumeration Date
2006-07-29
Last Update Date
2007-07-08
Business Address
-- ALFRED M. FAIRBANKS DDS
1410 SE BISHOP BLVD
PULLMAN, WA 99163-5419
Phone number: 509-332-2329
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Mailing Address
-- ALFRED M. FAIRBANKS DDS
1410 SE BISHOP BLVD
PULLMAN, WA 99163-5419
Phone number: 509-332-2329
Copy
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