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1336183458
THOMAS DOAK BANNISTER
BEDFORD, TX
NPI
1336183458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 679878)
Enumeration Date
2006-06-16
Last Update Date
2010-08-30
Business Address
Mr. THOMAS DOAK BANNISTER RN
221 BEDFORD RD
BEDFORD, TX 76022-5201
Phone number: 817-268-0104
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Mailing Address
Mr. THOMAS DOAK BANNISTER RN
11 FAIR GREEN DR
TROPHY CLUB, TX 76262-5630
Phone number: 817-683-8818
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