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1619210929
MICHELLE BANISTER
AUSTIN, TX
NPI
1619210929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX Q7952)
Enumeration Date
2013-04-04
Last Update Date
2021-11-12
Business Address
MICHELLE BANISTER
601 E 15TH ST
AUSTIN, TX 78701-1930
Phone number: 512-324-8355
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Mailing Address
MICHELLE BANISTER
601 E 15TH ST
AUSTIN, TX 78701-1930
Phone number: 512-324-8355
Copy
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