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1346074424
LAUREN BANISTER
PETALUMA, CA
NPI
1346074424
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-08-29
Last Update Date
2024-08-29
Business Address
LAUREN BANISTER
1500 PETALUMA BLVD S
PETALUMA, CA 94952-5545
Phone number: 707-765-8488
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Mailing Address
LAUREN BANISTER
620 HILLGIRT CIR
OAKLAND, CA 94610-3709
Phone number: 510-912-5406
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