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1487208286
LISA YVONNE BANTA
CINCINNATI, OH
NPI
1487208286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 084499)
Enumeration Date
2019-07-30
Last Update Date
2019-07-30
Business Address
LISA YVONNE BANTA
830 EZZARD CHARLES DR
CINCINNATI, OH 45214-2525
Phone number: 513-381-6672
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Mailing Address
LISA YVONNE BANTA
307 E 41ST ST
COVINGTON, KY 41015-1628
Phone number: 859-391-8768
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