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1144621053
LORA BANKS
MONTGOMERY, AL
NPI
1144621053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AL TA1776)
Enumeration Date
2014-09-10
Last Update Date
2014-09-10
Business Address
-- LORA BANKS PA-C
2105 E SOUTH BLVD
MONTGOMERY, AL 36116-2409
Phone number: 334-213-6255
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Mailing Address
-- LORA BANKS PA-C
14050 NW 14TH ST STE 190
SUNRISE, FL 33323-2851
Phone number: 800-424-3672
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