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1871105247
JESSICA L FAIRBANKS
LANSING, MI
NPI
1871105247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401018556)
Enumeration Date
2020-08-18
Last Update Date
2021-04-20
Business Address
JESSICA L FAIRBANKS
2929 COVINGTON CT
LANSING, MI 48912-4941
Phone number: 810-513-4976
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Mailing Address
JESSICA L FAIRBANKS
4624 DUNMORROW DR
OKEMOS, MI 48864-1251
Phone number: 517-881-2587
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