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1093858607
KAYSIE LYNN BANTON
MINNEAPOLIS, MN
NPI
1093858607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: MN 46661)
Enumeration Date
2007-02-14
Last Update Date
2017-06-30
Business Address
-- KAYSIE LYNN BANTON MD
909 FULTON ST SE
MINNEAPOLIS, MN 55455-4800
Phone number: 612-672-7422
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Mailing Address
-- KAYSIE LYNN BANTON MD
720 WASHINGTON AVE SE
MINNEAPOLIS, MN 55414-2924
Phone number:
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