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1124002134
CHARLES A BANKS
RAYTOWN, MO
NPI
1124002134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO T02112)
Enumeration Date
2005-12-02
Last Update Date
2007-07-08
Business Address
-- CHARLES A BANKS OD
6708 RAYTOWN RD
RAYTOWN, MO 64133-5272
Phone number: 816-353-1872
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Mailing Address
-- CHARLES A BANKS OD
6708 RAYTOWN RD
RAYTOWN, MO 64133-5272
Phone number: 816-353-1872
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