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1013780394
LACI C BANKS
BOLIVAR, MO
NPI
1013780394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: MO 2023021409)
Enumeration Date
2023-10-30
Last Update Date
2023-10-30
Business Address
LACI C BANKS
1300 N OAKLAND AVE STE B
BOLIVAR, MO 65613-3008
Phone number: 417-326-6061
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Mailing Address
LACI C BANKS
372 SPRINGFIELD RD
BUFFALO, MO 65622-4120
Phone number: 417-733-5605
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