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1376145987
JOHNNA BANNER
TUMWATER, WA
NPI
1376145987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA RN60657425)
Enumeration Date
2020-11-10
Last Update Date
2020-11-10
Business Address
JOHNNA BANNER RN
3285 FERGUSON ST SW
TUMWATER, WA 98512
Phone number: 360-943-1907
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Mailing Address
JOHNNA BANNER RN
3285 FERGUSON ST SW
TUMWATER, WA 98512
Phone number: 360-943-1907
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