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1023633500
MARY COBLEIGH BANFIELD
SACRAMENTO, CA
NPI
1023633500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95014663)
Enumeration Date
2020-06-10
Last Update Date
2020-06-10
Business Address
MARY COBLEIGH BANFIELD
1009 1/2 T ST
SACRAMENTO, CA 95811-6560
Phone number: 925-330-6993
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Mailing Address
MARY COBLEIGH BANFIELD
1009 1/2 T ST
SACRAMENTO, CA 95811-6560
Phone number: 925-330-6993
Copy
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