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1649815820
RENEE N BANWORTH
ROYAL OAK, MI
NPI
1649815820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704304290)
Enumeration Date
2019-11-12
Last Update Date
2024-03-20
Business Address
RENEE N BANWORTH FNP
3535 W 13 MILE RD STE 644
ROYAL OAK, MI 48073-6770
Phone number: 248-551-1033
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Mailing Address
RENEE N BANWORTH FNP
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number:
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