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1992550057
BRADEN FAIRBANKS
LOUISVILLE, KY
NPI
1992550057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-22
Last Update Date
2024-04-22
Business Address
BRADEN FAIRBANKS
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 801-368-9145
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Mailing Address
BRADEN FAIRBANKS
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 801-368-9145
Copy
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