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1629563408
ROBERT L BANNISTER
LIMA, OH
NPI
1629563408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-06-25
Last Update Date
2018-06-25
Business Address
ROBERT L BANNISTER
311 E MARKET ST FL 3
LIMA, OH 45801-4535
Phone number: 419-222-4474
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Mailing Address
ROBERT L BANNISTER
311 E MARKET ST FL 3
LIMA, OH 45801-4535
Phone number: 419-222-4474
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