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1477931384
STEPHANIE EILEEN BANASIK
RICHMOND HILL, GA
NPI
1477931384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN220937)
Enumeration Date
2015-05-12
Last Update Date
2016-08-02
Business Address
Mrs. STEPHANIE EILEEN BANASIK Adult Nurse Practiti
10200 FORD AVE. STE. 101
RICHMOND HILL, GA 31324
Phone number: 912-459-6446
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Mailing Address
Mrs. STEPHANIE EILEEN BANASIK Adult Nurse Practiti
1175 COOK RD STE 115
ORANGEBURG, SC 29118-8201
Phone number: 803-531-2677
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