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1205188307
AGNES BAUTISTA BANIAS
NORFOLK, VA
NPI
1205188307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NC 8471)
Enumeration Date
2012-10-12
Last Update Date
2012-10-12
Business Address
-- AGNES BAUTISTA BANIAS RDH
1647 ADMIRAL TAUSSIG BLVD BR HEALTH CLINIC NAVAL MEDICAL CENTER PORTSMOUTH
NORFOLK, VA 23511
Phone number: 757-953-7011
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Mailing Address
-- AGNES BAUTISTA BANIAS RDH
1647 ADMIRAL TAUSSIG BLVD BR HEALTH CLINIC NAVAL MEDICAL CENTER PORTSMOUTH
NORFOLK, VA 23511
Phone number: 757-953-7011
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