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1548797699
CARLOS BANNISTER
PFAFFTOWN, NC
NPI
1548797699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: NC 12879)
Enumeration Date
2017-05-19
Last Update Date
2018-03-17
Business Address
Mr. CARLOS BANNISTER MPT
5908 PEACEFUL GLEN DR
PFAFFTOWN, NC 27040-9300
Phone number: 336-287-7941
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Mailing Address
Mr. CARLOS BANNISTER MPT
5908 PEACEFUL GLEN DR
PFAFFTOWN, NC 27040-9300
Phone number: 336-287-7941
Copy
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