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Brayden Fairbourn
NPI 1992404842 · on the registry since 2023 · sole proprietor
Practice
- Address
- 27 S Mario Capecchi Dr
Salt Lake City, UT 84112 - Phone
- (801) 581-7498
- Clinicians at this address
- 593
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Sex
- Male
- Record last updated
- 2023-03-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah