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1477176550
BRIAN BANTA
MINNEAPOLIS, MN
NPI
1477176550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: MN 1756)
Enumeration Date
2020-05-22
Last Update Date
2020-05-22
Business Address
Mr. BRIAN BANTA L.Ac
1224 2ND ST NE
MINNEAPOLIS, MN 55413-1130
Phone number: 612-399-6322
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Mailing Address
Mr. BRIAN BANTA L.Ac
1224 2ND ST NE
MINNEAPOLIS, MN 55413-1130
Phone number:
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