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1447012349
MARITA CHAN BANISA
GREENSBORO, NC
NPI
1447012349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WM0705X Registered Nurse, Medical-Surgical
(Licence: NC 134372)
Enumeration Date
2024-01-25
Last Update Date
2024-01-25
Business Address
Ms. MARITA CHAN BANISA
2401 S SIDE BLVD
GREENSBORO, NC 27406-3311
Phone number: 336-604-2317
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Mailing Address
Ms. MARITA CHAN BANISA
2401 S SIDE BLVD
GREENSBORO, NC 27406-3311
Phone number:
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