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1386942621
TANALIE BANAWA
LOS ANGELES, CA
NPI
1386942621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN246806)
Enumeration Date
2011-03-10
Last Update Date
2014-11-08
Business Address
-- TANALIE BANAWA LVN
981 S WILTON PL APT 3
LOS ANGELES, CA 90019-2140
Phone number: 949-456-0962
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Mailing Address
-- TANALIE BANAWA LVN
PO BOX 70324
LOS ANGELES, CA 90070-0324
Phone number: 949-456-0962
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