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1508440587
DANA RENE' BANFIELD
PEORIA, AZ
NPI
1508440587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AZ 010335)
Enumeration Date
2021-05-06
Last Update Date
2021-05-06
Business Address
DANA RENE' BANFIELD
18441 N 87TH AVE
PEORIA, AZ 85382-8532
Phone number: 315-335-9130
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Mailing Address
DANA RENE' BANFIELD
PO BOX 132
BLACK CANYON CITY, AZ 85324-0132
Phone number: 602-717-3641
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