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1891008777
GRANT A. FAIRBANKS, MD PC
BOUNTIFUL, UT
NPI
1891008777
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Entity Type
Organization
Authorized Contact
GRANT A FAIRBANKS
Provider
801-701-8688
Organization Subpart ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: UT 2744901205)
Enumeration Date
2010-07-20
Last Update Date
2015-11-20
Business Address
GRANT A. FAIRBANKS, MD PC
520 MEDICAL DR SUITE 210
BOUNTIFUL, UT 84010-4968
Phone number: 801-268-8838
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Mailing Address
GRANT A. FAIRBANKS, MD PC
PO BOX 1071
BOUNTIFUL, UT 84011-1071
Phone number: 801-701-8688
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