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1346817079
LAUREN ELIZABETH BANASZAK
DALTON, GA
NPI
1346817079
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Former Name
LAUREN ELIZABETH HALVERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: GA RN301551)
Enumeration Date
2021-06-10
Last Update Date
2021-06-10
Business Address
LAUREN ELIZABETH BANASZAK CNM
1105 BURLEYSON RD
DALTON, GA 30720-3181
Phone number: 706-278-4640
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Mailing Address
LAUREN ELIZABETH BANASZAK CNM
1105 BURLEYSON RD
DALTON, GA 30720-3181
Phone number: 706-278-4640
Copy
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