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1346412780
ELAINE BANTA
JUPITER, FL
NPI
1346412780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: FL PY4354)
Enumeration Date
2008-03-26
Last Update Date
2008-03-26
Business Address
Dr. ELAINE BANTA PhD
725 NA1A STE B106
JUPITER, FL 33477
Phone number: 561-427-0144
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Mailing Address
Dr. ELAINE BANTA PhD
725 NA1A STE B106
JUPITER, FL 33477
Phone number: 561-427-0144
Copy
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