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1477061109
ERNETRIA L BANKS
VIDALIA, LA
NPI
1477061109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-01-16
Last Update Date
2018-01-16
Business Address
ERNETRIA L BANKS
1810 CARTER ST
VIDALIA, LA 71373-3115
Phone number: 318-336-4797
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Mailing Address
ERNETRIA L BANKS
1810 CARTER ST
VIDALIA, LA 71373-3115
Phone number: 318-336-4797
Copy
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