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1255824959
GWENDOLYN BANES
SAN DIEGO, CA
NPI
1255824959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: CA RN655020)
Enumeration Date
2018-06-07
Last Update Date
2019-04-05
Business Address
GWENDOLYN BANES Registered Nurse
995 GATEWAY CENTER WAY STE 300
SAN DIEGO, CA 92102-4550
Phone number: 619-398-2156
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Mailing Address
GWENDOLYN BANES Registered Nurse
11354 VIA RANCHO SAN DIEGO UNIT D
EL CAJON, CA 92019-5203
Phone number: 619-309-9598
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