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1235174087
CRAIG S BANTA
REDLANDS, CA
NPI
1235174087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G38986)
Enumeration Date
2006-06-17
Last Update Date
2007-07-08
Business Address
Dr. CRAIG S BANTA M.D.
2 W FERN AVE
REDLANDS, CA 92373-5916
Phone number: 909-793-3311
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Mailing Address
Dr. CRAIG S BANTA M.D.
PO BOX 2200
REDLANDS, CA 92373-0722
Phone number: 909-793-3311
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