Mikala Fairbanks
Mikala Fairbanks is a Case Manager/Care Coordinator in Orem, Utah. Licensed in Utah. Registered with an NPI since 2016.
- Licensed in
- UT
- In the registry since
- 2016
Practice location Address checks out
638 N 450 WOrem, UT 84057-3794
Phone: (801) 373-4760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X · Licence 178234323 (UT) |
|---|
Record details
| NPI number | 1306391370 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 19, 2016 |
| Last updated in NPPES | August 19, 2016 |
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