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1336603588
DANIEL WAYNE BANKS
PUNTA GORDA, FL
NPI
1336603588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11001033)
Enumeration Date
2019-01-22
Last Update Date
2020-11-24
Business Address
Mr. DANIEL WAYNE BANKS
25097 OLYMPIA AVE STE 205
PUNTA GORDA, FL 33950-3912
Phone number: 941-347-8341
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Mailing Address
Mr. DANIEL WAYNE BANKS
1736 CLUB HOUSE RD
NORTH FORT MYERS, FL 33917-2518
Phone number: 334-328-5736
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