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1952822686
CONNOR FAIRBANKS
POCATELLO, ID
NPI
1952822686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-4836)
Enumeration Date
2017-07-03
Last Update Date
2017-07-03
Business Address
Dr. CONNOR FAIRBANKS DDS
921 S 8TH AVE STOP 8088
POCATELLO, ID 83209-0002
Phone number: 208-282-6000
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Mailing Address
Dr. CONNOR FAIRBANKS DDS
921 S 8TH AVE STOP 8088
POCATELLO, ID 83209-8088
Phone number: 208-282-6000
Copy
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