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1134802259
LEON BANISTER
MIAMI, FL
NPI
1134802259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH14204)
Enumeration Date
2023-08-08
Last Update Date
2023-08-08
Business Address
Dr. LEON BANISTER
2310 TIGERTAIL CT
MIAMI, FL 33133-4724
Phone number: 786-566-2875
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Mailing Address
Dr. LEON BANISTER
2310 TIGERTAIL CT
MIAMI, FL 33133-4724
Phone number: 786-566-2875
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