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1033731211
MICHAEL BANES
EL PASO, TX
NPI
1033731211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
376G00000X Nursing Home Administrator
(Licence: 11686)
Enumeration Date
2020-05-11
Last Update Date
2020-05-11
Business Address
MICHAEL BANES
1599 LOMALAND DR
EL PASO, TX 79935-4201
Phone number: 228-806-6322
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Mailing Address
MICHAEL BANES
1599 LOMALAND DR
EL PASO, TX 79935-4201
Phone number: 228-806-6322
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