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1114429321
RAYDESHA BANKS
WINSTON SALEM, NC
NPI
1114429321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 11557)
Enumeration Date
2018-03-03
Last Update Date
2018-03-17
Business Address
RAYDESHA BANKS OTR/L
849 WATERWORKS RD
WINSTON SALEM, NC 27101-1956
Phone number: 336-595-2166
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Mailing Address
RAYDESHA BANKS OTR/L
4621 BAY CREEK DR
WINSTON SALEM, NC 27106-9422
Phone number:
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