ELIZABETH BANTA

ALBERT LEA, MN
NPI1619173705
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2007-06-25
Last Update Date2007-07-08
Business Address
ELIZABETH BANTA
1904 BRIDGE AVE
ALBERT LEA, MN 56007-2090
Phone number: 150-755-2137
Mailing Address
ELIZABETH BANTA
1904 BRIDGE AVE
ALBERT LEA, MN 56007-2090
Phone number:
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