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1861531105
GRANT R FAIRBANKS
SALT LAKE CITY, UT
NPI
1861531105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: UT 1487731205)
Enumeration Date
2007-02-05
Last Update Date
2013-01-04
Business Address
Dr. GRANT R FAIRBANKS MD
1151 E 3900 S SUITE B110
SALT LAKE CITY, UT 84124-1216
Phone number: 801-268-8838
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Mailing Address
Dr. GRANT R FAIRBANKS MD
1151 E 3900 S SUITE B110
SALT LAKE CITY, UT 84124-1216
Phone number: 801-268-8838
Copy
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