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1356900310
LATY SHERMAINE BANKS
CORONA, CA
NPI
1356900310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-06-12
Last Update Date
2023-03-31
Business Address
LATY SHERMAINE BANKS
2275 S MAIN ST STE 201
CORONA, CA 92882-5303
Phone number: 951-279-3222
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Mailing Address
LATY SHERMAINE BANKS
1235 EMERALD ST
HEMET, CA 92543-7812
Phone number: 562-416-8285
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