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1114594686
ELIZABETH BANVILLE
BOCA RATON, FL
NPI
1114594686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT21222)
Enumeration Date
2021-06-04
Last Update Date
2021-06-04
Business Address
ELIZABETH BANVILLE
21345 POWERLINE RD STE 100
BOCA RATON, FL 33433-2307
Phone number: 551-883-7800
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Mailing Address
ELIZABETH BANVILLE
3661 TURTLE RUN BLVD APT 1211
CORAL SPRINGS, FL 33067-4244
Phone number: 774-454-3468
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