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1124634936
BRILYN MICHELLE BANISTER
SEYMOUR, IN
NPI
1124634936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IN 10003071A)
Enumeration Date
2020-09-17
Last Update Date
2021-09-01
Business Address
Ms. BRILYN MICHELLE BANISTER PA-C
100 N WALNUT ST
SEYMOUR, IN 47274-2192
Phone number: 812-523-5185
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Mailing Address
Ms. BRILYN MICHELLE BANISTER PA-C
100 N WALNUT ST
SEYMOUR, IN 47274-2192
Phone number: 812-523-5185
Copy
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