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1225556145
JENNY BANNISTER
TAMPA, FL
NPI
1225556145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: FL 9940)
Enumeration Date
2017-08-30
Last Update Date
2022-07-21
Business Address
JENNY BANNISTER PHD
13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
Phone number: 813-972-2000
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Mailing Address
JENNY BANNISTER PHD
13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
Phone number: 813-972-2000
Copy
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