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1023541695
CARLEY BANKS
FARIBAULT, MN
NPI
1023541695
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Other Name
CARLEY BANKS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
125K00000X Advanced Practice Dental Therapist
(Licence: MN DT17)
Enumeration Date
2017-04-10
Last Update Date
2018-07-24
Business Address
CARLEY BANKS A.D.T
1575 20TH ST NW
FARIBAULT, MN 55021
Phone number: 507-334-6433
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Mailing Address
CARLEY BANKS A.D.T
1575 20TH ST NW STE 102
FARIBAULT, MN 55021-2930
Phone number: 507-334-6433
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