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1205992476
EMERITA TABOR BANAS
WARREN, MI
NPI
1205992476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704086757)
Enumeration Date
2006-12-29
Last Update Date
2007-07-08
Business Address
Mrs. EMERITA TABOR BANAS C.R.N.A.
11800 EAST 12-MILE RD
WARREN, MI 48093
Phone number: 586-573-5260
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Mailing Address
Mrs. EMERITA TABOR BANAS C.R.N.A.
3974 NOWAK DR
STERLING HEIGHTS, MI 48310-5325
Phone number: 586-242-5424
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