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1134986953
REENA EZA BANAYAT CALIZO
WILKES BARRE, PA
NPI
1134986953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: PA F02241038)
Enumeration Date
2024-02-28
Last Update Date
2024-02-28
Business Address
REENA EZA BANAYAT CALIZO
84 W SOUTH ST
WILKES BARRE, PA 18766-0997
Phone number: 570-408-5000
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Mailing Address
REENA EZA BANAYAT CALIZO
84 W SOUTH ST
WILKES BARRE, PA 18766-0997
Phone number: 570-408-5000
Copy
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