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1518362920
KENNETTA BANYARD
MILWAUKEE, WI
NPI
1518362920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WI 314712)
Enumeration Date
2014-10-28
Last Update Date
2014-10-28
Business Address
-- KENNETTA BANYARD
6958 N RAINTREE DR UNIT D
MILWAUKEE, WI 53223-5271
Phone number: 414-795-9008
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Mailing Address
-- KENNETTA BANYARD
6958 N RAINTREE DR UNIT D
MILWAUKEE, WI 53223-5271
Phone number:
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