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1073065348
STEPHANIE LAUREN BANKS
FORT LAUDERDALE, FL
NPI
1073065348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9110168)
Enumeration Date
2016-11-02
Last Update Date
2020-06-10
Business Address
STEPHANIE LAUREN BANKS
1347 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Phone number: 954-767-9999
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Mailing Address
STEPHANIE LAUREN BANKS
1347 S ANDREWS AVE
FORT LAUDERDALE, FL 33316-1837
Phone number: 954-767-9999
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