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1144221359
LINDA J. BANTA
SAN ANTONIO, TX
NPI
1144221359
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Former Name
LINDA JANE DELOACH BANTA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: TX J3779)
Enumeration Date
2005-08-10
Last Update Date
2010-06-04
Business Address
-- LINDA J. BANTA M.D.
109 GALLERY CIR SUITE 135
SAN ANTONIO, TX 78258-3327
Phone number: 210-494-0504
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Mailing Address
-- LINDA J. BANTA M.D.
PO BOX 2493
SAN ANTONIO, TX 78299-2493
Phone number: 210-494-0504
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