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1083496897
TAWNY NICOLE BANVILLE
FREDERICK, MD
NPI
1083496897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: MD U03049)
Enumeration Date
2023-10-17
Last Update Date
2023-10-17
Business Address
TAWNY NICOLE BANVILLE
603 W PATRICK ST STE B
FREDERICK, MD 21701-4090
Phone number: 301-620-1414
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Mailing Address
TAWNY NICOLE BANVILLE
119 VIRGINIA AVE
BERRYVILLE, VA 22611-1309
Phone number: 540-539-2007
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